胎盘前置状态引产前子宫动脉栓塞疗效分析  

Curative effect of uterine artery embolization before placenta previa state induced labour

作　　者：任峰奇[1] 文晓燕 王义清[1] 

机构地区：[1]西安市中心医院介入科,陕西西安710003 [2]西安市红十字会医院妇产科

出　　处：《实用放射学杂志》2013年第9期1481-1483,共3页Journal of Practical Radiology

摘　　要：目的 明确子宫动脉栓塞在妊娠中期胎盘前置状态引产中的疗效.方法 对30例妊娠中期胎盘前置状态进行性出血需终止妊娠的患者经双侧子宫动脉灌注甲氨蝶呤80 mg后行血管栓塞,其中27例栓塞双侧子宫动脉主干及末梢分支;3例仅栓塞双侧子宫动脉主干.30例栓塞后均行引产术,12例引产不全患者行清宫术.结果 30例患者均成功行子宫动脉栓塞,其中28例患者引产后出血少,2例引产后大出血;2例引产后大出血患者均为仅栓塞双侧子宫动脉主干患者.结论 双侧子宫动脉主干及其末梢分支的全面栓塞是治疗妊娠中期胎盘前置状态的安全有效方法.Objective To observe the curative effect of the uterine artery embolization in patients with placenta previa state. Methods 30 cases of placenta previa state complicated progressive hemorrhage were undergone the vascular embolization by perfusion 80 mg methotrexate in bilateral uterine artery for termination pregnancy. 27 cases were embolized in the bilateral uterine artery and its peripheral branches, 3 cases were only done in main trunks of bilateral uterine artery. 30 cases after embolization were induced labor, 12 cases also had curettage. Results 30 cases were successfully operated the uterine artery embolization, 28 of them had less postpartum hemorrhage, 2 had severe postpartum hemorrhage;2 cases with severe postpartum hemorrhage were patients who were only embolized the main trunks of bilateral uterine artery. Conclusion The embolization of bilateral uterine artery and its peripheral branches is safe and effective method for the treatment of gestation placenta previa state.

关 键 词：子宫动脉 栓塞 胎盘前置 

分 类 号：R714.43[医药卫生—妇产科学] R815[医药卫生—临床医学]