Xu J-Q
Department of Obstetrics and Gynecology, The Wuxi City No. 10 People's Hospital, Wuxi, Jiangsu Province, China.
Eur Rev Med Pharmacol Sci. 2015;19(3):372-4.
This study evaluated the effectiveness of embolization of internal iliac artery or uterine artery in the treatment of massive obstetrical and gynecological hemorrhages, including postpartum hemorrhages.
A total of 21 patients with massive obstetrical and/or gynecological hemorrhages underwent the modified Seldinger procedure. The catheter was inserted into the femoral artery on one side. Then, internal iliac artery angiography was performed to identify lesions in the areas supplied by internal iliac artery, and the bleeding site. Gelatin sponge particles were injected to embolize the bleeding artery. A second angiography was performed to determine whether embolization was successful.
Clinical success was achieved in 20 patients after a single embolization procedure. Hysterectomy was performed in one woman with pernicious placenta previa due to persistent massive bleeding 24 hours after the removal of uterine packing. In the remaining 20 patients, the uterus was preserved. All 21 patients were cured and discharged.
Embolization of internal iliac artery or uterine artery is an effective method to treat massive obstetrical and gynecological hemorrhages, including postpartum hemorrhages, and provides a new option to preserve the uterus.
本研究评估了髂内动脉或子宫动脉栓塞术在治疗包括产后出血在内的大量妇产科出血中的有效性。
共有21例大量妇产科出血患者接受了改良Seldinger技术。将导管插入一侧股动脉。然后，进行髂内动脉血管造影以识别髂内动脉供血区域的病变及出血部位。注入明胶海绵颗粒以栓塞出血动脉。再次进行血管造影以确定栓塞是否成功。
单次栓塞术后20例患者获得临床成功。1例凶险性前置胎盘女性因取出子宫填塞物24小时后仍持续大量出血而行子宫切除术。其余20例患者子宫得以保留。所有21例患者均治愈出院。
髂内动脉或子宫动脉栓塞术是治疗包括产后出血在内的大量妇产科出血的有效方法，并为保留子宫提供了新的选择。
