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相關文獻
- The Modern Role of Arterial Embolization in the Management of Postpartum Hemorrhage
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- 產後出血的經驗及回顧
頁籤選單縮合
題名 | The Modern Role of Arterial Embolization in the Management of Postpartum Hemorrhage=動脈栓塞在產後出血的治療上所扮演的現代角色 |
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作者 | 沈中章; 鄭汝汾; 許德耀; | 書刊名 | 臺灣婦產科醫學會會刊雜誌 |
卷期 | 42:2 2003.06[民92.06] |
頁次 | 頁109-116 |
分類號 | 417.366 |
關鍵詞 | 動脈栓塞; 產後出血; Postpartum hemorrhage; Arterial embolization; |
語文 | 英文(English) |
中文摘要 | 目的:經導管動脈栓塞在產後出血的治療之文獻回顧。材料和方法:我們使用關鍵字“產後出血”及“動脈栓塞”搜尋Medline中1979年到2001年的英文文獻,就目前動脈栓塞在產科的適應症,治療的種類,技術的考量,立即的成功率及效果,失敗的原因,併發症及結果做研究論文的回顧。結果:我們的文獻回顧及臨床經驗顯示經導管動脈栓塞在控制產後出血,剖腹產術後出血,及子宮切除術後出血是一個安全而有效的方法。動脈栓塞可在手術治療產後出血前使用。動脈栓塞治療的好處包括低併發症,避免手術的危險,維持生育能力以及較短的住院時間。它在控制產後出血可達到94%的成功率。結論:我們相信經導管動脈栓塞在台灣未被普遍使用。本文獻回顧顯示動脈栓塞在治療產後出血所扮演的現代角色是相當有效的,且相對而言它也是較不具侵犯性的方法。 |
英文摘要 | Objective: To review published studies of transcatheter arterial embolization in the management of postpartum hemorrhage. Material(s) and Method(s): The English-language literature from 1979 through 2001 of Medline was searched using the terms“postpartum hemorrhage”and“arterial embolization”. All relevant English-language clinical research articles retrieved were reviewed which regard to the current obstetric indications for transcatheter arterial embolization, types of embolotherapy, technical considerations, immediate success rates and efficacy, causes of failure, complications, and outcomes. Result(s): Our comprehensive literature review and clinical experience suggest that transcatheter arterial embolization is a safe and effective means of controlling postpartum, postcesarean, and posthysterectomy bleeding; it should be used before surgical treatment of postpartum hemorrhage. Benefits of transcatheter arterial embolization for patients include low complication rates, avoidance of surgical risks, maintenance of reproductive ability, and shorter hospitalization times. It was successful in controlling postpartum hemorrhage in 94% of cases reviewed. Conclusion(s): It is our strong belief that transcatheter arterial embolization is underused in Taiwan, and this literature review demonstrates that transcatheter arterial embolization can play a role as a modern alternative as it is a highly effective, relatively noninvasive method of treating postpartum hemorrhage. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。