子宫动脉栓塞术治疗胎盘植入的临床应用  

Clinical Application of Uterine Artery Embolization for Treatment of Placenta Increta

作　　者：梅海炳[1] 何忠威[1] 金涛[1] 

机构地区：[1]宁波市妇女儿童医院,浙江宁波315010

出　　处：《实用放射学杂志》2009年第6期879-880,888,共3页Journal of Practical Radiology

摘　　要：目的探讨子宫动脉栓塞术（uAE）治疗胎盘植入及引起的产后出血的临床应用。方法对26例经保守治疗无效的胎盘植入患者及引起的出血进行UAE治疗，采用Seldinger技术选插两侧子宫动脉后分别灌注氨甲喋呤（MTX），然后进行两侧子宫动脉栓塞。结果26例经介入治疗后达到快速止血且保留子宫的效果。结论介入治疗是胎盘植入及所致产后出血有效的新治疗方法。Objective To investigate the clinical application of uterine artery emholization（UAE） for treatment of placenta increta and bleed. Methods 26 cases with placenta increta and bleed who underwent conservative treatment and failed were treated with UAE. Using Seidinger technique,the catheters were inserted in bilateral uterus arteriae methotrexate{MTX} was adminitered and followed by bilateral uterine artery embolization. Results The therapeutic efficacy was well and the resection of uteri was not needed in all cases after embolizations. Conclusion The interventional therapy is a new effective method for treatment of placenta increta and bleed.

关 键 词：胎盘植入 介入治疗 出血 

分 类 号：R714.25[医药卫生—妇产科学] R815[医药卫生—临床医学]