介入治疗在凶险性前置胎盘中的临床应用  

Clinical Application of Interventional Therapy in Dangerous Placenta Previa

作　　者：黄勇[1] 夏玉萍[2] 曾丽[1] 曹跃勇[1] 朱军[1] Huang Yong;Xia Yuping;Zeng Li(Department of Radiation Intervention,Department of Obstetrics,The Second People's Hospital of Yibin City,Yibin,Sichuan 644000;Department of Vascular Surgery,the First People's Hospital of Yibin City,Yibin,Sichuan 644000,China)

机构地区：[1]宜宾市第二人民医院放射介入科产科,四川宜宾644000 [2]宜宾市第一人民医院血管外科,四川宜宾644000

出　　处：《四川医学》2019年第4期424-427,共4页Sichuan Medical Journal

摘　　要：目的探讨子宫动脉栓塞术、髂内动脉球囊阻塞术及腹主动脉球囊封堵术在治疗凶险性前置胎盘中的应用。方法收集我院2016年7月至2018年6月经介入治疗的凶险性前置胎盘病例32例,对操作方法、手术曝光时间、X线辐射剂量、疗效及并发症进行分析。结果行子宫动脉栓塞14例,行髂内动脉球囊阻塞术8例,行腹主动脉球囊封堵术10例;介入术后终止妊娠,三种方法均成功保留子宫,曝光时间内产生辐射剂量皆在辐射安全范畴内,无严重并发症发生。结论针对凶险性前置胎盘,子宫动脉栓塞术、髂内动脉球囊阻塞术及腹主动脉球囊封堵术皆为有效的治疗手段。Objective To explore the application of uterine artery embolization internal iliac artery balloon occlusion and abdominal aortic balloon closure in the treatment of dangerous placenta previa.Methods A total of 32 cases of dangerous placenta previa from July 2016 to June 2018 were collected in our hospital.The methods of operation,exposure time,radiation dose,curative effect and complications were analyzed.Results Uterine artery embolization was performed in 14 cases,internal iliac artery balloon occlusion in 8 cases,abdominal aortic balloon closure in 10 cases;The pregnancy was terminated after interventional operation.All the three methods were successful in preserving the uterus.The radiation dose produced within the exposure time was within the scope of radiation safety without serious complications.Conclusion For dangerous placenta previa,uterine artery embolization,internal iliac artery balloon occlusion and abdominal aortic balloon closure are all effective methods.

关 键 词：凶险性前置胎盘 血管造影 子宫动脉栓塞术 髂内动脉球囊阻塞术 腹主动脉球囊封堵术 介入放射学 

分 类 号：R714.43[医药卫生—妇产科学]