Abstract:
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.
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。