[1]张 凯,任红瑞,马 祯,等.介入栓塞术在子宫动脉假性动脉瘤中的应用及疗效分析[J].介入放射学杂志,2022,31(11):1073-1077.
 ZHANG Kai,REN Hongrui,MA Zhen,et al.Application of interventional embolization in treating uterine artery pseudoaneurysm and analysis of its effect[J].journal interventional radiology,2022,31(11):1073-1077.
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介入栓塞术在子宫动脉假性动脉瘤中的应用及疗效分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年11
页码:
1073-1077
栏目:
临床研究
出版日期:
2022-12-13

文章信息/Info

Title:
Application of interventional embolization in treating uterine artery pseudoaneurysm and analysis of its effect
作者:
张 凯 任红瑞 马 祯 陆 林 张文哲 牛广颖 刘香婷 赵 鑫
Author(s):
ZHANG Kai REN Hongrui MA Zhen LU Lin ZHANG Wenzhe NIU Guangying LIU Xiangting ZHAO Xin.
Department of Intervention, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 产后出血 假性动脉瘤 血管造影 子宫动脉栓塞术
文献标志码:
A
摘要:
【摘要】 目的 评价子宫动脉造影和栓塞术诊断和治疗子宫动脉假性动脉瘤(UAP)的有效性和安全性。 方法 回顾性分析2016年12月至2020年10月郑州大学第三附属医院收治的19例UAP患者临床资料。其中6例为妊娠相关操作后迟发性阴道出血,13例胎盘植入患者阴道出血由腹主动脉球囊暂时阻断下剖宫产术后常规造影发现。所有患者均经造影明确为UAP,共发现22枚,其中左右侧子宫动脉各11枚。6例妊娠相关操作后出血患者行双侧子宫动脉栓塞,13例剖宫产后患者仅栓塞载瘤子宫动脉。术后立即行阴道探查观察有无新鲜出血,术后6个月随访有无再发异常阴道出血。结果 术后即时探查宫腔显示,6例妊娠相关操作后阴道出血患者出血停止,13例胎盘植入剖宫产患者无新鲜血液流出。19例患者术后均出现不同程度下腹部疼痛,给予镇痛泵对症治疗,术后36 h内明显缓解。随访期间所有患者无再发阴道异常出血。结论 子宫动脉造影对UAP具有明确诊断作用。子宫动脉栓塞术治疗UAP破裂致阴道出血安全,效果良好;有助于预防未破裂UAP患者迟发性产后出血。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2021-08-17)
(本文编辑:边 佶)
更新日期/Last Update: 2022-12-09