[1]齐卫红,王松,詹瑛.急症动脉栓塞治疗难治性产后出血疗效评价[J].介入放射学杂志,2008,(01):58.
　QI Weihong,WANG Song,ZHAN Ying.Evaluation of emergency transcatheter arterial embolization in intractable postpartum hemorrhage[J].journal interventional radiology,2008,(01):58.
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急症动脉栓塞治疗难治性产后出血疗效评价()

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

卷:
期数:
2008年01期
页码:
58
栏目:
临床研究
出版日期:
2008-01-15

文章信息/Info

Title:
Evaluation of emergency transcatheter arterial embolization in intractable postpartum hemorrhage
作者:
齐卫红; 王松; 詹瑛
２６６００３青岛大学医学院附属医院产科（齐卫红，詹瑛）；介入放射科（王松）
Author(s):
QI Wei－hong; WANG Song; ZHAN Ying．
The Affiliated Hospital，Medical School of Qingdao University，Qingdao２６６００３，China
关键词:
产后出血; 动脉栓塞; 子宫动脉
分类号:
R７１４.４６１
文献标志码:
B
摘要:
目的评价急症经导管动脉栓塞术（TAE）治疗难治性产后出血的疗效及安全性。方法临床２５例难治性产后出血患者，采用右股动脉Seldinger穿刺技术，选择性插管至双侧髂内动脉或子宫动脉，行DSA明确出血部位后以明胶海绵颗粒栓塞。结果插管成功率１００％，手术时间２５～６０min，平均（４２．５±４．６）min，术后止血时间３～１５min。术后止血总有效率１００％。比较术前术后患者血红蛋白及心率，差异具有显著性（t＝２９．４９，P＜０．０１；t＝１６．５１，P＜０．０１）。所有患者宫体按期复旧，转经后月经正常。结论TAE创伤小，疗效快速肯定，术后短期及长期随访无严重并发症，对危及生命的产后出血是一种有效治疗措施。

参考文献/References:

［１］Brown BT，Heaston DK，Poalson AM，et al．Vncontrollable postpartum bleeding：a new approach to hemostasis through angigraphic arterial embolization［J］．Obstet Gynecol，１９７９，５４：３６１．
［２］张金山．现代腹部介入放射学［M］．北京：科学出版社，２０００：１８８－１８９．
［３］宋瑞香，程永德，谢宗贵．妇产科介入治疗学［M］．济南：山东科学技术出版社，２００２：１４１．
［４］周琦，赵友萍．产后出血血管性介入治疗进展［J］．实用妇科与产科杂志，２００５，２１：１９７－１９９．
［５］吴卫平，李选．急诊双侧子宫动脉栓塞治疗难治性产后大出血［J］．介入放射学杂志，２００６，１５：２４３－２４５．
［６］Soncini E，Pelicelli A，Larini P，et al．Uterine artery emboliza－tion in the treatment and prevention of postpartum hemorrhage［J］．Int J Gynaecol Obstet，２００７，９６：１８１－１８５．

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备注/Memo

备注/Memo:
收稿日期：２００７－０２－０６
更新日期/Last Update: 2008-01-15