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目的观察自制高温高压灭菌明胶海绵颗粒栓塞治疗产后大出血的疗效。方法将明胶海绵剪成颗粒后经高温高压灭菌处理,用于65例产后大出血的栓塞,分别栓塞双侧子宫动脉,部分患者同时栓塞髂内动脉其他分支。结果59例栓塞后未再出血(有效率90.8%),6例于栓塞后48h内再次出血(复发率9.2%),其中2例为栓塞血管再通(3.1%)。1例出现子宫部分坏死。结论自制高温高压灭菌明胶海绵颗粒用于产后大出血的栓塞,价格低廉,使用方便,栓塞效果好,值得推广。
Objective To observe the efficacy of self-made high-temperature sterilization gelatin sponge particles embolization in the treatment of postpartum hemorrhage. Methods The gelatin sponge was cut into granules and sterilized by autoclaving at high temperature for 65 cases of postpartum hemorrhage embolization, respectively, embolization of bilateral uterine artery, some patients also embolization of the other branches of the internal iliac artery. Results 59 cases did not hemorrhage (90.8%) after embolization, 6 cases rebleeded within 48 hours after embolization (the recurrence rate was 9.2%), of which 2 cases were recanalization (3.1%). 1 case of uterine partial necrosis. Conclusion Self-made high-temperature autoclaved gelatin sponge particles for postpartum hemorrhage embolism, low price, easy to use, embolization effect, it is worth promoting.