Vedantham S, Goodwin S C, McLucas B, Mohr G
Department of Radiological Sciences, University of California, Los Angeles Medical Center, 90024, USA.
Am J Obstet Gynecol. 1997 Apr;176(4):938-48. doi: 10.1016/s0002-9378(97)70624-0.
Transcatheter arterial embolization has recently emerged as a highly effective percutaneous technique for controlling acute and chronic genital bleeding in a wide variety of obstetric and gynecologic disorders. Benefits for the patient and health care system have included low complication rates, avoidance of surgical risks, fertility preservation, and shorter hospitalizations. In this article the current indications for pelvic embolotherapy, types of embolotherapy, technical considerations, immediate success rates, causes of failure, complications, and outcome expectations are discussed. Our comprehensive literature review and clinical experience suggest that embolization should be used before surgical treatment of nonmalignant pelvic bleeding in many clinical settings, including postpartum, postcesarean, and postoperative bleeding. It is our strong belief that this form of therapy is underused, and the primary purpose of this article is to emphasize its developing role as a highly effective, relatively noninvasive method of treating genital bleeding.
经导管动脉栓塞术最近已成为一种高效的经皮技术，用于控制各种妇产科疾病中的急慢性生殖器出血。对患者和医疗保健系统的益处包括低并发症发生率、避免手术风险、保留生育能力以及缩短住院时间。本文讨论了盆腔栓塞治疗的当前适应证、栓塞治疗类型、技术考虑因素、即刻成功率、失败原因、并发症以及预期结果。我们全面的文献综述和临床经验表明，在许多临床情况下，包括产后、剖宫产术后和术后出血，在对非恶性盆腔出血进行手术治疗之前应使用栓塞术。我们坚信这种治疗形式未得到充分利用，本文的主要目的是强调其作为一种治疗生殖器出血的高效、相对无创方法的发展作用。
