张梅娜赵相娟赵宏敏蔡丽瑛郑建华△.介入栓塞在产后出血治疗中的应用[J].,2012,12(20):3855-3856 |
介入栓塞在产后出血治疗中的应用 |
Application of Interventional Embolization in Postpartum Hemorrhage |
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DOI: |
中文关键词: 介入栓塞 产后出血 子宫动脉 髂内动脉 |
英文关键词: Interventional embolization Hemorrhage Uterine artery Internal iliac artery |
基金项目:哈尔滨市科技局青年科技创新人才研究专项资金项目(2009RFQXS022) |
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中文摘要: |
目的:探讨介入栓塞治疗对产后出血的治疗效果和应用价值。方法:回顾性分析在哈尔滨医科大学附属第一医院住院分娩
发生产后出血并应用介入技术治疗的16 例患者的临床资料。结果:16 例患者中有15 例一次栓塞成功,均未出现严重并发症及异
常阴道流血,未哺乳者术后6-8 周恢复正常月经,哺乳者于结束哺乳后4-8 周恢复正常月经;1 例于栓塞后16 小时再次出现大量
阴道流血,而改行子宫次全切除术。结论:介入栓塞治疗直观性强、创伤微小、并发症少、止血较快,并保留生育功能,有条件的医
院可作为首选治疗方法。 |
英文摘要: |
Objective: To assess the effect and value of interventional embolization in treating postpartum hemorrhage. Methods:
Retrospective review was carried out on 16 women who received interventional embolization therapy after postpartum hemorrhage in the
first affiliated hospital of Harbin medical university. Results: Fifteen cases were successfully cured postoperatively. No severe complications
and abnormal colporrhagia were observed. The menstruations were recovered 4-8 weeks after lactation in the patients who suckled,
while 6-8 weeks after operation in the ones who never suckled. One case underwent subtotal hysterectomy because of severe colporrhagia
sixteen hours after embolization. Conclusion: With the characteristics of direct-viewing, small tresis vulnus, less complications, fast
haemostasis and keeping productive function, interventional embolization could be the preferred therapy in those hospitals which have
the interventional condition. |
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