摘要
目的探讨双侧子宫动脉栓塞治疗胎盘植入产后出血的疗效。方法对32例胎盘植入产后出血患者采取双侧动脉栓塞治疗,分析治疗效果及并发症等情况。结果 32例患者有流产史26例(81.25%),有剖宫产史4例(12.50%);出血量500～800 ml者7例(21.88%),801～1500 ml者22例(68.75%),1500 ml以上者3例(9.38%);流产后发现胎盘植入6例(18.75%),足月分娩后发现胎盘植入26例(81.25%);手术均一次性成功,成功率100%,术后6例出现轻微腹痛,2例发生轻微恶心症状,无1例发生感染及闭经情况。结论双侧动脉栓塞治疗胎盘植入产后出血止血快速,安全可靠,并发症轻微。
Objective To study the value of bilateral uterine arterial embolization in postpartum hemorrhage caused by placenta accrete. Methods The bilateral uterine arterial embolization is adopted to the treatment of 32 patients who have post- partum hemorrhage after taking the placenta accrete. The treatment effects, complications and others would be analysis. Resuits 26 cases （81.25%） of 32 patients were with abortion history, 4 cases （12. 50% ） were with history of Cesarean section, blood loss of 7 cases （21.88%） were 500 ~ 800 ml, blood loss of 22 cases （68. 75% ） were 801 - 1500 ml, blood loss of 3 cases （9. 38% ） were more than 1500ml, 6 cases （18. 75% ） were diagnosed as placenta accrete after abortion, 26 cases （81.25%） were diagnosed as placenta accrete after term delivery, all the operations were all one-time success, the success rate was 100%, 6 cases were with mild abdominal pain after the operation, 2 cases were with slight nausea , and no patient was with infection and amenorrhea. Conclusion The homeostasis of bilateral uterine arterial embolization in postpartum hemorrhage caused by placenta accrete is faster and it is with lower incidence of complications.
出处
《广州医药》
2012年第3期29-31,共3页
Guangzhou Medical Journal
关键词
子宫动脉栓塞
产后出血
胎盘植入
Uterine arterial embolization
Postpartum hemorrhage
Placenta accreta
