论文部分内容阅读
目的对双侧子宫动脉栓塞术在治疗妇产科急性大出血的临床价值进行评价。方法对于本院2012年6月~2013年12月收治的24例妇产科急性大出血患者展开研究,对于患者采用改良式的Seldinger穿刺技术进行双侧子宫动脉造影和栓塞术,使用明胶海绵颗粒栓塞患者的子宫动脉远端,使用明胶海绵条或者是弹簧圈栓塞患者子宫双侧动脉主干。对于恶性肿瘤患者同时采用微导管及时进行灌注化疗。对所有的患者手术之后进行1~3个月的随访。结果 24例患者临床治愈的有20例,治愈率为83.33%;有效的有3例,有效率为12.5%;无效的有1例,无效率为4.17%。结论双侧子宫动脉栓塞术能够有效的治疗妇产科急性大出血,对于降低大出血给患者生命带来的威胁发挥着重要的作用,值得在临床上得到广泛的推广和应用。
Objective To evaluate the clinical value of bilateral uterine artery embolization in the treatment of acute gynecological bleeding. Methods A total of 24 patients with acute gynecologic and acute hemorrhage admitted to our hospital from June 2012 to December 2013 were enrolled in this study. Bilateral uterine artery angiography and embolization were performed using modified Seldinger puncture technique. The patients were treated with gelatin sponge particle embolism Patients with distal uterine artery, the use of gelatin sponge or coil embolization of patients with uterine bilateral artery trunk. For patients with malignant tumors while using microcatheter infusion chemotherapy in a timely manner. All patients were followed up for 1 to 3 months after surgery. Results Twenty-four patients were clinically cured in 20 cases, the cure rate was 83.33%; effective in 3 cases, the effective rate was 12.5%; invalid in 1 case, the inefficiency was 4.17%. Conclusions Bilateral uterine artery embolization can effectively treat acute hemorrhage of obstetrics and gynecology, plays an important role in reducing the threat to human life caused by massive hemorrhage. It is worth to be widely popularized and applied clinically.