胎盘植入并产后出血介入治疗八例临床分析  

Clinical analysis of interventional treatment for postpartum hemorrhage caused by abnormal placental implantation

作　　者：马奔[1] 曾北蓝[1] 陈春林[2] 刘萍[2] 雷蔚华[1] 祝琳[1] 

机构地区：[1]广州医学院附属广州市第一人民医院妇产科,510182 [2]南方医科大学附属南方医院妇产科

出　　处：《妇产与遗传（电子版）》2012年第2期26-28,共3页Obstetrics-Gynecology and Genetics (Electronic Edition)

摘　　要：目的探讨血管性介入治疗胎盘植入并产后出血的临床应用价值。方法对8例因分娩后胎盘植入并产后出血的患者行血管性介入治疗,术后3～5d行清宫术。结果 8例患者均成功止血,3例患者术后第3天排出部分胎盘后行清宫术,5例患者予静脉滴注缩宫素后第5天行清宫术,均清除全部残留胎盘,患者血HCG、性激素及月经周期于2～4个月恢复正常。结论介入治疗胎盘植入并产后出血具有止血快,并发症少的优点,术后植入胎盘清除彻底,是一种安全、有效的治疗方法。Objective To investigate the clinical application value of Vascular Intervention Treatment for postpartum hemorrhage caused by abnormal placental implantation.Methods 8 cases of postpartum hemorrhage caused by abnormal placental implantation were undergone Vascular Intervention Treatment,and uterine curettage were done 3~5 days postoperatively.Results All cases were succeed in hemostasis,uterine curettage were required in 3 cases 3 days postoperatively due to part of placenta tissue didn't evacuate,in another 5 cases 5 days after being given intravenous drips of oxytocin,all retained placenta tissue was evacuated.The serum HCG,sex hormone and the menstrual cycle returned to normal within 2~4 months after the placenta tissue was evacuated.Conclusion The Vascular Intervention Treatment is proved to be a safe,effective method for postpartum hemorrhage caused by abnormal placental implantation with fast hemostasis and rare complications.

关 键 词：胎盘 侵入性 产后出血 放射摄影术 介入性 

分 类 号：R714.462[医药卫生—妇产科学]