[1]王茂强,陈凯,段峰,等.盆腔出血性疾病卵巢动脉栓塞治疗[J].介入放射学杂志,2007,(09):606.
 WANG Mao-qiang,CHENG Kai,DUAN Feng,et al.Pelvis hemorrhagic lesion with ovarian arterial supply:treatment by transcatheter arterial embolization[J].journal interventional radiology,2007,(09):606.
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盆腔出血性疾病卵巢动脉栓塞治疗()

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

卷:
期数:
2007年09期
页码:
606
栏目:
血管介入
出版日期:
2007-09-15

文章信息/Info

Title:
Pelvis hemorrhagic lesion with ovarian arterial supply:treatment by transcatheter arterial embolization
作者:
王茂强陈凯段峰
100853北京中国人民解放军总医院介入医学科(王茂强、段峰、刘凤永、王志军、王仲朴、李强);妇产科(宋磊);天津医科大学第一中心医院(陈凯)
Author(s):
WANG Mao-qiangCHENG KaiDUAN FengLIU Feng-yongWANG Zhi-junWANG Zhong-puLI QiangSONG Lei.
Department of Interventional Radiology,the General Hospital of People's Liberation Army,Beijing100853,China
关键词:
卵巢动脉动脉造影术治疗性栓塞产后出血
分类号:
R711
文献标志码:
A
摘要:
目的评价盆腔出血性疾病经导管栓塞卵巢动脉(OVA)的疗效和安全性。方法对12例OVA参与盆腔出血性疾病供血的患者进行选择性OVA栓塞术,在栓塞OVA之前均曾行常规髂内动脉前支-子宫动脉栓塞术。出血的病因包括产后出血6例,盆腔血管畸形2例,子宫肌瘤、子宫颈癌、子宫肌瘤术后、盆腔纤维肉瘤各1例。12例中,7例于第1次介入治疗栓塞两侧髂内动脉-子宫动脉后未能控制出血,第2次造影显示OVA参与出血的供血,5例于栓塞两侧髂内动脉-子宫动脉后发现OVA参与病变供血。栓塞OVA的材料用PVA3例、PVA+明胶海绵颗粒7例、PVA+明胶海绵颗粒+微型钢圈2例。结果选择性OVA造影显示对比剂外溢至宫腔(盆腔)10例、OVA参与病变供血2例,未显示髂内动脉和其他侧支参与供血。选择性栓塞OVA的技术成功率为100%,包括栓塞两侧OVA者4例、单侧者8例,未发生与栓塞术相关的并发症。12例患者经补充栓塞参与出血或病变的OVA后出血立即停止,住院期间未再复发出血。术后随访2周~36个月,3例术后2~3周子宫切除,1例盆腔纤维肉瘤术后接受放射治疗,1例盆腔动静脉畸形出院后仍有间歇少量阴道出血、未特殊处理,2例出现一过性卵巢功能减退症状,分别于术后3、4个月恢复正常月经。其余7例在随访期间未复发出血、月经周期正常。结论OVA可参与盆腔出血性疾病的供血,是导致常规栓塞两侧髂内动脉-子宫动脉不能控制出血的原因之一。如发现OVA参与盆腔出血性病变的供血,补充做OVA栓塞术是安全和有效的。

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备注/Memo

备注/Memo:
收稿日期:2006-09-11
更新日期/Last Update: 2007-09-15