子宫动脉栓塞术对前置胎盘中晚孕引产结局分析  

Application of uterine artery embolisation in induction of labor for placenta previa

作　　者：李新琳[1] 张俊[1] 

机构地区：[1]重庆市巴南区人民医院产科,401320

出　　处：《重庆医学》2013年第19期2212-2213,2216,共3页Chongqing medicine

摘　　要：目的探讨子宫动脉栓塞术在减少前置胎盘中晚孕引产时出血的应用价值。方法回顾性分析2003年1月至2012年10月该院引产的42例中晚孕合并前置胎盘患者相关资料,分析该院开展子宫动脉栓塞术以来,在前置胎盘中晚孕引产的结局。结果 12例前置胎盘患者引产前行动脉栓塞术无一例发生产后大出血;30例引产前未行子宫动脉栓塞术者,9例发生产后出血,其中4例发生产后大出血,3例急诊行子宫动脉栓塞术,1例急诊行子宫切除术;引产前行子宫动脉栓塞术组产后平均出血量明显低于引产前未行子宫动脉栓塞术组[(307.5±41.4)mL vs.(601.6±125.5)mL],引产前未行子宫动脉栓塞术组中4例因产后出血行输血治疗。结论完全性前置胎盘(状态)或孕28周后部分性前置胎盘引产患者,引产前行子宫动脉栓塞术明显降低产后出血率,并可能会减少切除子宫等相关事件的发生。Objective To investigate the application value of uterine artery embolization（UAE） in reducing the incidence of bleeding among pregnant women with placenta previa.Methods We conducted a retrospective case/control study based on 42 pregnant women in second and third trimester pregnancy with placenta previa from January 2003 to October 2012 in our hospital.The outcomes in induced labor of trimester pregnancy with placenta previa since the development of uterine artery embolisation were analyzed.Results There were no cases of postpartum hemorrhage among those 12 patients who had received UAE when labor induction.However,in another group that did not receive UAE,9 patients suffered postpartum hemorrhage,4 cases suffered severe postpartum hemorrhage,3 patients experienced emergency operation of uterine artery embolization and one patient experienced hysterectomy.The estimated blood loss in the group of patients who received UAE was significantly lower than that of control group[（307.5±41.4）mL vs.（601.6±125.5）mL].4 cases in control group accepted blood transfusions.Conclusion UAE for pregnant women with placenta previa can apparently reduce the incidence of postpartum hemorrhage and the risk of hysterectomy complications.

关 键 词：前置胎盘 引产 产后出血 子宫动脉栓塞术 

分 类 号：R714[医药卫生—妇产科学]