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目的探讨子宫动脉栓塞(UAE)手术治疗产后大出血的临床应用价值。方法 18例产后大出血患者行子宫动脉栓塞(UAE)手术,超选择插管进入双侧子宫动脉及侧支供血血管,经造影证实后,注入明胶海绵颗粒予以栓塞,重复造影,证实栓塞成功。结果 18例患者共栓塞子宫动脉35支,侧支供血血管共3支,栓塞成功率100%,3例患者出血逐渐停止,15例患者术后即时止血,无一例出血复发,无严重并发症发生。结论 UAE手术治疗产后大出血即时、微创、恢复快、并发症少、疗效高,保留了子宫、卵巢正常的生理功能,有利于患者的健康,提高患者的生活质量。
Objective To investigate the clinical value of uterine artery embolization (UAE) for the treatment of postpartum hemorrhage. Methods 18 patients with postpartum hemorrhage underwent uterine arterial embolization (UAE) surgery. Superselective catheterization into the bilateral uterine artery and collateral blood vessels, after angiography confirmed, injection of gelatin sponge particles embolization, repeated angiography, confirmed the successful embolization. Results Eighteen patients were embolized with 35 uterine arteries, 3 branches of blood supply were provided, and the success rate of embolization was 100%. The bleeding of 3 patients stopped gradually. Fifteen patients received immediate postoperative hemostasis with no recurrence of bleeding and no serious complication . Conclusion UAE surgical treatment of postpartum hemorrhage immediately, minimally invasive, rapid recovery, fewer complications, high efficacy, retained the normal physiological function of the uterus and ovary, is conducive to the patient’s health and improve the quality of life of patients.