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目的探讨髂内动脉栓塞治疗产后大出血的临床价值。方法回顾性分析我院2004年5月至2006年12月用介入放射技术对32例(其中入院前已行子宫全切术12例,未行子宫切除术20例)产后大出血并休克患者行经皮髂内动脉选择插管术,通过数字减影血管造影(DSA)明确盆腔血管走向及造影剂外溢情况后,双侧分别注入明胶海绵条栓塞。结果30例一次栓塞成功,2例二次栓塞成功,手术时间30~60 min,止血迅速,休克纠正,未行子宫切除者能保留子宫。结论髂内动脉栓塞术治疗产后大出血休克患者,能迅速有效止血,降低死亡率,并可保留子宫,该技术值得推广。
Objective To investigate the clinical value of internal iliac artery embolization in treating postpartum hemorrhage. Methods A retrospective analysis of our hospital from May 2004 to December 2006 with interventional radiography on 32 cases (including admission before admission hysterectomy 12 cases, 20 cases without hysterectomy) postpartum hemorrhage and percutaneous percutaneous Internal iliac artery cannulation was selected, and gelatin sponge embolization was injected into both sides of the pelvis through digital subtraction angiography (DSA). Results 30 cases were successful in one embolization, 2 cases succeeded in second embolization, operation time was 30-60 minutes, hemostasis was rapid, shock was corrected, uterus was preserved without hysterectomy. Conclusion Internal iliac artery embolization in patients with postpartum hemorrhage shock, can quickly and effectively stop bleeding, reduce mortality, and can retain the uterus, the technology worthy of promotion.