预防性子宫动脉栓塞用于终止不同类型胎盘前置状态中期妊娠的效果  

作　　者：羊亚莉 徐娟 叶丽燕 王颖 吕英 郑秀娟 

机构地区：[1]浙江大学金华医院,321000

出　　处：《浙江临床医学》2020年第1期66-67,共2页Zhejiang Clinical Medical Journal

摘　　要：目的分析预防性子宫动脉栓塞术(UAE)用于终止不同类型胎盘前置状态中期妊娠的效果.方法回顾性分析2008年1月至6月中期妊娠引产合并胎盘前置状态患者的临床资料.比较UAE在观察组(完全性胎盘前置状态患者)和对照组(部分性胎盘前置状态患者)的应用效果.结果观察组中,实施UAE的患者产时出血量明显低于未实施预防性子宫动脉栓塞的患者(P<0.05).对照组中,实施和未实施UAE的产时出血量差异无统计学意义(P>0.05).结论UAE在完全性胎盘前置状态中期妊娠引产患者中能够有效减少产时出血,但在部分性胎盘前置状态中期妊娠引产患者中,UAE疗效有限.Objective To evaluate the effect of prophylactic uterine arterial embolization(UAE)on the second trimester abortion in patients with placenta previa of different types.Methods A retrospective analysis was performed on the data of patients admitted to the obstetrics department of Jinhua Hospital,Zhejiang University School of Medicine from January 2008 to June 2018 with second-trimester induced abortion combined with pla-cental previa.The effect of UAE was compared between the observation group(patients with complete placental previa)and the control group(patients with partial placental previa).Results In the observation group,the intrapartum blood loss and blood transfusion volume of patients with UAE were significantly lower than those without UAE(P<0.05).In the control group,there was no statistically significant difference in intrapartum blood loss be-tween the two groups(P>0.05).Conclusion UAE can effectively reduce intrapartum bleeding in patients with complete placental previa in terminating the second trimester,but the efficacy of UAE is limited in the patients with partial placental previa.

关 键 词：中期妊娠引产 子宫动脉栓塞 胎盘前置状态 产时出血量 观察组 UAE 临床资料 统计学意义 

分 类 号：R71[医药卫生—妇产科学]