选择性骨盆动脉栓塞术治疗产科出血

来源 :世界核心医学期刊文摘(妇产科学分册) | 被引量 : 0次 | 上传用户:haobs
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Objective: Retrospective evaluation of pelvic arterial embolization for the treatment of severe post-partum hemorrhage. Methods: Data were collected, from our departmental clinical records, on all patients with life-threatening post-partum hemorrhage managed with arterial embolization between January 2001 and December 2003. Results: During the period analyzed, there were 29,119 deliveries in our institution. Of these, 27 patients underwent pelvic arterial embolization to control severe hemorrhaging despite conservative management. Of the 27 patients, 22(81.5%) had a vaginal delivery and 5 had a caesarean section. The major indication for embolization was uterine atony(15 women). Disseminated intravascular coagulation developed in 20 cases(74.1%). There were eight cases(29.6%) who underwent hysterectomy, seven of them pre-emboliza-tion. The most frequent vessel embolized was the uterine artery(13 cases; 38.3%). One patient(3.7%) presented complications related to the procedure. The success rate was 96.3%. Conclusion: Pelvic arterial embolization is a good therapeutic choice for severe post-partum hemorrhage refractory to conservative treatment measures. Objective: Retrospective evaluation of pelvic arterial embolization for the treatment of severe post-partum hemorrhage. Methods: Data were collected, from our departmental clinical records, on all patients with life-threatening post-partum hemorrhage managed with arterial embolization between January 2001 and December Of these, 27 patients underwent pelvic arterial embolization to control severe hemorrhaging despite conservative management. Of the 27 patients, 22 (81.5%) had a vaginal delivery and 5 There were eight cases (29.6%) who underwent hysterectomy, seven of them pre-emboliza tion . The most frequent vessel embolized was the uterine artery (13 cases; 38.3%). One patient (3.7%) presented complications related to the procedure. The succ ess rate was 96.3%. Conclusion: Pelvic arterial embolization is a good therapeutic choice for severe post-partum hemorrhage refractory to conservative treatment measures.
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