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宫腔出血的介入治疗案例研究

Case study on interventional treatment of intrauterine hemorrhage

临床医学前沿 / 2019,1(2)：42-47 / 2019-12-27 563 598

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• 作者： 管玥     
• 单位：

  温州医科大学附属医院，温州

• 关键词： 宫腔出血；介入；栓塞
• Intrauterine hemorrhage; Intervention; embolism
• 摘要： 目的：介绍妇产科术后子宫出血的介入治疗方法及临床价值。方法： 对 12 例术后子宫出血患者，经子宫动脉造影确诊为子宫动脉出血后，以明胶海 绵及弹簧圈行双侧子宫动脉栓塞，并观察其治疗效果。结果：12 例出血患者立 即获得成功止血，2 例合并有宫颈妊娠者经灌注甲氨喋呤（MAX）后，血中绒 毛促性腺激素（β- HCG）水平 3d 后恢复正常。结论：经子宫动脉栓塞治疗宫 腔出血是简单、可靠的方法。
• Objective: to introduce the methods and clinical value of interventional treatment of uterine bleeding after obstetrics and gynecology. Methods: 12 cases of postoperative uterine bleeding were diagnosed by uterine arteriography and bilateral uterine artery embolization was performed with gelfoam and spring coil, and the therapeutic effect was observed. Results: immediate hemostasis was achieved in 12 patients with bleeding, and serum gonadotropin (d-hcg) levels returned to normal after 3d infusion of methotrexate (MAX) in 2 patients with cervical pregnancy. Conclusion: it is a simple and reliable method to treat intrauterine hemorrhage by uterine artery embolization.
• DOI： https://doi.org/10.35534/fcm.0102008c
• 引用： 文章引用：管玥．宫腔出血的介入治疗案例研究［J］．临床医学前沿，2019，1（2）：42-47．