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目的探讨子宫动脉栓塞治疗产后大出血的价值。方法采用Seldinger技术对14例难治性产后大出血进行超选择性子宫动脉栓塞治疗。结果经子宫动脉栓塞12例、髂内动脉栓塞2例;13例栓塞后出血停止,2例因止血不完全而行子宫次全切除术;12例随访3~10月患者均有规律的月经来潮,无严重并发症发生。结论子宫动脉栓塞治疗产后大出血疗效确切,具有止血快、副作用小的特点。
Objective To investigate the value of uterine artery embolization in treating postpartum hemorrhage. Methods Seldinger technique was used in 14 patients with refractory postpartum hemorrhage undergoing superselective uterine artery embolization. Results 12 cases of uterine artery embolization and 2 cases of internal iliac artery embolization, 13 cases of bleeding stopped after embolization, 2 cases of subtotal hysterectomy due to incomplete hemostasis, and 12 cases were followed up for 3 to 10 months. All patients had regular menstrual cramps No serious complications occurred. Conclusion Uterine artery embolization is effective in treating postpartum hemorrhage and has the advantages of fast bleeding and little side effects.