Clinical diagnosis and treatment analysis of postoperative gynecologic hemorrhage undergoing super-selective arterial embolization intervention
CHU Dan-xia
CHU Jin-meng
ZHANG Jian-hao
WU Jie
LAI Tiao-jiao
CHEN Zhi-hua
GUO Rui-xia
Abstract：Objective To investigate the value of super-selective arterial embolization in bleeding after gynecologic surgery.Methods From May 2013 to May 2020 at the First Affiliated Hospital of Zhengzhou University,15 patients with postoperative gynecological hemorrhage,for whom conservative treatment was ineffective,underwent arteriography;after the hemorrhage site was clarified,the polyvinyl alcohol particles plus gelatin sponge was applied for embolization,and its therapeutic effect was analyzed.Results After super-selective arterial embolization,bleeding stopped within 48 h in all 15 patients,among which bleeding stopped immediately in 7 patients;8 patients still had a small amount of bleeding:bleeding gradually stopped within 12 h in 2 patients,bleeding gradually stopped within 24 h in 4 patients,and bleeding gradually stopped within 48 h in 2 patients.The hemostatic efficiency of the patients reached 100％.There were only mild postoperative complications such as fever,lower abdominal and hip pain,all of which were relieved with symptomatic management.Conclusion Super-selective arterial embolization is an effective method of treating postoperative gynecological bleeding,which not only avoids the risk of a second surgery and anesthesia endured by the patient,but also increases the chance of uterine preservation.Therefore,it can be used as,a preferred method of hemostasis after gynecological surgery.
Keywords：arterial embolizationpostoperative gynecologic bleedinguterine preservationarteriography
Publication Date：2025-04-02
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 466-469 )