子宫动脉栓塞术用于终止胎盘前置状态妊娠的临床分析  

Clinical analysis on uterine arterial embolization used for termination of pregnancy in patients with placenta previa

作　　者：张博[1] 李军[1] 

机构地区：[1]首都医科大学附属北京妇产医院计划生育科,北京100026

出　　处：《中国妇幼保健》2014年第26期4340-4341,共2页Maternal and Child Health Care of China

摘　　要：目的：探讨子宫动脉栓塞术在终止胎盘前置状态妊娠中的应用价值。方法：16例胎盘前置状态患者行子宫动脉栓塞术,术中经子宫动脉注入甲氨蝶呤（MTX）。9例子宫动脉栓塞术联合米非司酮及乳酸依沙吖啶引产,6例子宫动脉栓塞术联合米非司酮及卡孕栓引产,1例子宫动脉栓塞术后行钳刮术。结果：9例乳酸依沙吖啶引产患者,7例引产成功,注入乳酸依沙吖啶后32.92-53.47 h,平均（43.39±7.66）h娩出胎儿,宫缩发动至胎儿娩出3.50-40.80 h,平均（15.91±14.33）h。6例卡孕栓引产患者均引产成功,应用卡孕栓后1.75-14.73 h,平均（7.37±4.89）h娩出胎儿,宫缩发动至胎儿娩出1-16.25 h,平均（7.47±5.39）h。16例产后出血10-500 ml,平均（98.75±119.73）ml,1例合并胎盘植入者发生产后出血。结论：子宫动脉栓塞术应用于终止胎盘前置状态妊娠中是安全且疗效可靠的。Objective： To explore the application value of uterine arterial embolization （UAE） used for termination of pregnancy in patients with placenta previa. Methods： UAE was performed among 16 patients with placenta previa, methotrexate （MTX） was injected through uterine artery during operation. Nine patients were treated with UAE combined with induced abortion with mifepristone and ethacridine lactate, six patients were treated with UAE combined with induced abortion with mifepristone and carboprost, and one patient was treated with UAE combined with forcep curettage. Results： Among nine patients treated with UAE combined with induced abortion with mifepristone and ethacridine lactate, induced abortion was performed successfully in seven patients, at 32.92 - 53.47 hours after injection of ethacridine lactate, the babies were born after （43.39 ± 7.66） hours on average, the interval time from start of uterine contraction to delivery was 3.50 -40. 80 hours, （ 15.91 ± 14. 33 ） hours on average. Induced abortion was performed successfully in six patients treated with UAE combined with induced abortion with mifepristone and carboprost, at 1.75 - 14.73 hours after application of carboprost, the babies were born after （7.37 ±4. 89） hours, the interval time from start of uterine contraction to delivery was 1 - 16. 25 hours, （7.47 ±5.39） hours on average. The amount of postpartum hemorrhage in 16 patients was 10-500 ml, （98.75 ±119. 73） ml on average, postpartum hemorrhage occurred in one patient with placenta implantation. Conclusion： UAE is a safe and effective method used for termination of pregnancy in patients with placenta previa.

关 键 词：子宫动脉栓塞术 胎盘前置状态 终止妊娠 

分 类 号：R919[医药卫生—药学]