Transcatheter arterial embolization in the management of postpartum hemorrhage due to genital tract injury.
Transcatheter arterial embolization in the management of postpartum hemorrhage due to genital tract injury.
复制标题
经导管动脉栓塞治疗生殖道损伤引起的产后出血。
作者：
Y. Yamashita;M. Takahashi;M. Ito;H. Okamura
对6例因生殖道损伤导致产后出血无法控制的患者进行了经导管动脉栓塞治疗。出血原因为宫颈及阴道裂伤5例，子宫破裂1例。4例病例包括阴道旁和/或腹膜后间隙的大血肿。两名妇女在动脉栓塞前进行了子宫切除术。血管造影显示外渗5例。所有6名受试者均使用明胶海绵颗粒经导管动脉栓塞术显著止血。所有病例均未发生严重并发症。未行子宫切除术的妇女月经恢复正常。经导管动脉栓塞治疗似乎是无法控制的出血患者的治疗选择。
Six patients with uncontrollable postpartum hemorrhage due to genital tract injury were treated with transcatheter arterial embolization. The causes of hemorrhage were laceration of the cervix and vagina in five cases and rupture of the uterus in one. Four cases included a large hematoma in the paravaginal and/or retroperitoneal space. Two women had a hysterectomy before arterial embolization. Angiography revealed extravasation in five cases. All six subjects had their hemorrhage arrested dramatically using transcatheter arterial embolization with gelatin sponge particles. No major complication was encountered in any case. Normal menstruation resumed in the women who did not undergo a hysterectomy. Transcatheter arterial embolization therapy seems to be the treatment of choice in patients with uncontrollable hemorrhage.