子宫动脉栓塞术在低置胎盘人工引产前患者中的应用效果及临床结局评价  

Application effect of uterine artery embolization in induced labor of patients with low-lying placenta and evaluation of clinical outcomes

作　　者：黄万昌[1] 叶俊宏 

机构地区：[1]玉林市第一人民医院介入放射科,广西玉林537000

出　　处：《中国妇幼保健》2018年第5期1164-1166,共3页Maternal and Child Health Care of China

基　　金：玉林市科技攻关项目(15023023)

摘　　要：目的探讨子宫动脉栓塞术在低置胎盘人工引产前患者中的临床效果及临床结局评价。方法选取2013年12月-2017年1月该院收治的低置胎盘人工引产前患者90例,按照随机数字法分为对照组和观察组,各45例。对照组采用常规剖宫取胎术治疗,观察组先进行子宫动脉栓塞术,3 h后羊膜腔注射利凡诺尔联合米非司酮引产,比较两组临床疗效及临床妊娠结局。结果观察组宫缩时间及分娩时间短于对照组(P<0.05);观察组阴道流血量少于对照组(P<0.05);两组术后并发症发生率比较,差异有统计学意义(P<0.05);两组子宫次切率、刮宫率比较,差异无统计学意义(P>0.05);观察组剖宫取胎率低于对照组(P<0.05)。结论低置胎盘人工引产前患者采用子宫动脉栓塞术治疗效果理想,创伤较小,能改善临床结局,有助于保护女性生殖功能。Objective To explore the clinical effect of uterine artery embolization （UAE） in induced labor of patients with low-lying placenta and evaluation of clinical outcomes. Methods Ninety induced labor patients with low-lying placenta treated in the First People＇s Hospital of Yulin from December 2013 to January 2017 were selected and divided into control group and observation group according to ran- dom number table, 45 patients in each group. The patients in control group were treated by routine cesarean section, and the patients in ob- servation group were treated by UAE, after three hours, the patients were treated by intra-amniotic injection of rivanol combined with mife- pristone. The clinical effects and clinical pregnancy outcomes in the two groups were compared. Results The time of uterine contraction and delivery in observation group was statistically significantly shorter than that in control group （ P〈0. 05 ） . The amount of vaginal bleeding in observation group was statistically significantly less than that in control group （ P〈0. 05 ） . There was statistically significant difference in the incidence rate of postoperative complications between the two groups （ P〈0. 05 ） . There was no statistically significant difference in the rates of subtotal hysterectomy and uterine curettage between the two groups （P〉0. 05） . The rate of cesarean section in observation group was sta- tistically significantly lower than that in control group （P〈0. 05） . Conclusion The effect of UAE in induced labor of patients with low-lying placenta is good. the trauma is small, which can improve clinical outcomes and protect female reproductive function.

关 键 词：低置胎盘 子宫动脉栓塞术 人工引产 临床结局 生殖功能 

分 类 号：R714[医药卫生—妇产科学]