动脉栓塞术在完全性前置胎盘状态引产中的应用  

Application of Artery Embolization in Induced Abortion with Complete Placenta Previa

作　　者：武继承[1] 王永红[1] 魏明珠[1] 

机构地区：[1]郴州市第一人民医院中心医院,湖南郴州423000

出　　处：《中外医学研究》2013年第30期3-5,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：探讨动脉栓塞术在完全性前置胎盘状态引产中的应用价值。方法：采用Seldinger技术对35例中晚期妊娠完全性前置胎盘状态需要终止妊娠者进行子宫动脉栓塞术或者髂内动脉栓塞术，同时应用利凡诺尔和米非司酮引产治疗。结果：29例孕妇于栓塞术后10-132 h，平均（32.50±5.53）h娩出胎儿及附属物，术后及产后24 h出血平均（198.0±13.5） ml；5例孕妇因产前出血多急诊行剖宫产终止妊娠；1例介入后立即剖宫取胎。无一例子宫切除。35例引产后平均（46.00±3.45）d恢复月经。结论：在中晚期妊娠完全性前置胎盘状态引产前先行动脉栓塞术是预防和减少出血的一个安全、可行的新途径。Objective：To evaluate the efficacy of application of artery embolization in induced abortion with complete placenta previa.Method：Using standard Seldinger technique,35 pregnant women in their second and third trimester pregnancy with complete placenta previa required termination of pregnancy underwent super-selection to uterine artery embolization or internal iliac artery embolization and simultaneous induction of labor with rivanol combined with mifepristone. Result：Delivery of the fetus and its accessories achieved after 10-132 h（32.50 h±5.53 h） in 29 women,with postoperative and postpartum hemorrhage of （198.0±13.5）ml on average in 24 h,and another 5 required emergency cesarean delivery due to antepartum haemorrhage,one case required emergency cesarean after uterine artery embolization.The total 35 refused hysterectomy,and regular menstruation occurred on average of （46.00±3.45）d after the procedure. Conclusion：Pre-operative arterial embolization can make safe induction of labor for pregnant women in their second and third trimester pregnancy with complete placenta previa and prevent or reduce potential intra-operative bleeding.

关 键 词：子宫动脉栓塞 髂内动脉栓塞术 完全性前置胎盘 引产 

分 类 号：R719.3[医药卫生—妇产科学]