利凡诺羊膜腔注射后行子宫动脉栓塞术对前置胎盘中期妊娠引产的临床价值探讨  

Therapeutic value of uterine artery embolization for placenta previa pregnancy

作　　者：张晓峰[1] 苗杰[1] 范晓芬[1] 王卉[1] 袁赟[1] 

机构地区：[1]首都医科大学附属北京妇产医院放射科,北京100006

出　　处：《中国医学装备》2015年第2期93-95,共3页China Medical Equipment

摘　　要：目的:探讨利凡诺羊膜腔注射后行双侧子宫动脉栓塞术(UAE)对前置胎盘中期引产的治疗价值,为妇科疾病的介入治疗提供可借鉴的方法。方法:选择接受双侧子宫动脉栓塞术的70例前置胎盘中期引产患者的临床资料进行回顾性分析,根据治疗方式的不同,将患者分为观察组和对照组,每组35例。观察组采用利凡诺注射后行UAE,对照组采用利凡诺注射前行UAE。采用Seldinger法经股动脉穿刺置管对两组患者进行双侧子宫动脉栓塞,观察并比较两组患者的胎儿娩出时间、阴道出血量及不良反应发生情况等。结果:两组患者的胎儿娩出时间、阴道流血量等数据比较呈显著差异,具有统计学意义(t=1.428,t=1.176;P<0.05);两组患者术后并发症的发生率比较其差异有统计学意义(x2=6.712,P<0.05)。结论:利凡诺羊膜腔注射后行双侧子宫动脉栓塞术是前置胎盘中期引产的有效方法,值得临床推广采用。Objective： To discuss the clinical value of the uterine artery embolization on the treatment of induced labor in the middle of the placenta previa so as to provide a reference for the minimally invasive treatment of gynaecological disease. Methods： The clinical data of 70 patients who were conducted the uterus artery embolization in our hospital from May 2010 to May 2013 were selected and retrospectively analyzed. According to the different methods of treatment, the selected patients were divided into the unilateral UAE group and the bilateral UAE group with 35 in each one. Then the uterine artery embolization combined with the methotrexate were used to treat the two groups. The operation time, the blood loss and the adverse reactions were observed and analyzed between two groups. Results： There were statistically significant differences about the operation time, the blood loss and the incidence of complications of patients in the two groups（P〈0.05）. Conclusion： The uterine artery embolization is an effective method which could be worthy of promotion in the placenta previa metaphase induced labor.

关 键 词：子宫动脉栓塞术 前置胎盘中期引产 临床价值 

分 类 号：R719.3[医药卫生—妇产科学]