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目的:探讨介入治疗在胎盘植入性产后出血性疾病中的价值。方法:收集2007年—2015年我科行18例双侧子宫动脉栓塞治疗胎盘植入性产后大出血患者,采用Seldigner法穿刺股动脉,用5F子宫动脉管行双侧髂内动脉造影,明确出血动脉后再超选至靶动脉,用经高温高压灭菌消毒的明胶海绵颗粒行靶动脉栓塞。结果:18例患者均成功止血并保留子宫。结论:急诊介入治疗胎盘植入性产后大出血,成功率高,止血迅速,并发症少,并且能保留子宫和生育能力,为产科出血患者提供了切实有效的治疗手段。
Objective: To investigate the value of interventional treatment in placental implantation postpartum hemorrhagic disease. Methods: From 2007 to 2015, 18 cases of bilateral uterine artery embolization were treated with placental implantation for postpartum hemorrhage in our hospital. The femoral artery was punctured by Seldigner method and bilateral iliac artery was dissected by 5F uterine artery. After the superselective to the target artery, with high-temperature autoclaved gelatin sponge particles line target artery embolization. Results: All 18 patients successfully stopped bleeding and retained the uterus. Conclusion: Emergency interventional treatment of placenta accreta for postpartum hemorrhage, high success rate, rapid hemostasis, fewer complications, and can retain the uterus and fertility, provide an effective treatment for obstetric hemorrhage patients.