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目的探讨超选择性子宫动脉栓塞治疗产后出血的安全性和疗效方面的优点与价值。方法采用seldinger技术穿刺股动脉入路,行超选择性子宫动脉插管及DSA血管造影后,采用脉冲式栓塞;所有患者术中及术后不用宫缩剂和止血剂。结果28例产后出血患者均被安全迅速止血;术后随访6个月,无复发出血及严重的并发症发生。结论超选择性子宫动脉栓塞治疗产后出血具有创伤小、安全迅速、并发症少等优点,有较好临床应用价值。
Objective To investigate the advantages and value of super selective uterine artery embolization in the treatment of postpartum hemorrhage. Methods The seldinger technique was used to puncture the femoral artery. After superselective uterine arterial cannulation and DSA angiography, pulsatile embolization was used. All patients underwent intrauterine and postoperative contractions and hemostatic agents. Results 28 cases of postpartum hemorrhage were safely and quickly hemostasis; postoperative follow-up of 6 months, no recurrence of bleeding and serious complications. Conclusion Superselective uterine artery embolization has the advantages of less trauma, rapid safety and fewer complications, and has better clinical value.