【摘要】 目的分析不同原因产后出血DSA影像表现及动脉栓塞治疗在产后大出血治疗中的疗效。方法对37例不同原因产后大出血患者行DSA,分析其造影表现,明确出血动脉后,对靶动脉进行栓塞,并再次造影证实栓塞情况。结果宫缩乏力及胎盘因素性产后大出血的出血动脉为子宫动脉,软产道损伤性产后出血之出血动脉以非子宫动脉出血为主。37例患者经栓塞治疗后出血均得到了有效控制,未出现严重并发症。结论 DSA可明确导致产后出血的靶动脉及与之相关的侧支吻合,对产后出血进行栓塞治疗安全有效。更多还原

【Abstract】 Objective To analyze the arterial supply in postpartum hemorrhage and to evaluate the clinical value of arteriography in transcatheter arterial embolization(TAE) for treating postpartum hemorrhage.Methods The arteriography of 37 patients with postpartum hemorrhage was analyzed.TAE were performed after the bleeding artery was identified.Post TAE angiography was performed to confirm the success of embolization.Results The bleeding artery in atonic uterus and abnormal placenta was the uterine artery.The bleeding artery in birth canal laceration is mainly non-uterine artery.Postpartum hemorrhage was successfully controlled in all 37 patients without severe complication of TAE.Conclusion Arteriography in postpartum hemorrhage can demonstrate the bleeding artery and its potential collaterals allowing adequate embolization without complication.更多还原