子宫动脉栓塞术治疗瘢痕子宫合并前壁胎盘完全性胎盘前置中期妊娠引产  

Uterine artery embolization used in labor induction of patients with scarred uterus pregnancy in uterus antetheca and complete placenta previa termination of second pregnancy

作　　者：李彩霞 李明善 张玉州 徐晓辉 LI Caixia;LI Mingshan;ZHANG Yuzhou;XU Xiaohui(Kaifeng Obstetrics and Gynecology Hospital, Henan Province, 475000;School of Basic Medical Sciences, Henan University;The Third Affiliated Hospital of Zhengzhou University)

机构地区：[1]河南省开封市妇产医院,475000 [2]河南大学基础医学院 [3]郑州大学第三附属医院

出　　处：《中国计划生育学杂志》2021年第8期1606-1609,共4页Chinese Journal of Family Planning

摘　　要：目的:观察子宫动脉栓塞术治疗瘢痕子宫合并前壁胎盘完全性胎盘前置妊娠中期引产的临床疗效。方法:本院2019年6月-2020年5月收治的瘢痕子宫合并前壁胎盘完全性胎盘前置妊娠中期引产患者94例按随机数表法分为两组各47例。常规组给予常规药物治疗,栓塞组在常规组治疗基础上给予子宫动脉栓塞术治疗。比较两组引产成功率、不良事件发生率、失血量、月经复潮时间、住院时间及治疗前后生活质量变化情况。结果:栓塞组引产成功率(93.6%)高于常规组(74.5%),不良事件发生率(8.5%)低于常规组(38.3%),失血量(125.1±15.1ml)、月经复潮时间(36.8±3.5d)、住院时间(6.1±1.3d)均低于常规组(158.2±18.3ml、44.5±3.2d、8.7±1.4d)(均P<0.05);与治疗前相比,治疗1个月后两组各项生活质量评分均下降,且栓塞组低于常规组(P<0.05)。结论:子宫动脉栓塞术治疗瘢痕子宫合并前壁胎盘完全性胎盘前置妊娠中期引产效果显著,可有效提高引产成功率,减少阴道大出血的发生,促进术后恢复,提升生活质量。Objective:To observe the clinical effect of uterine artery embolization used in labor induction of patients with scarred uterus pregnancy in uterus antetheca and complete placenta previa during the second trimester of pregnancy.Methods:94 patients with scarred uterus pregnancy in uterus antetheca and complete placenta previa after labor induction during the second trimester of pregnancy were included and were divided into two groups(47 cases in each group)according to random number table from June 2019 to May 2020.The patients in the control group were given conventional drug treatment,and patients in the study group were given uterine artery embolization on the basis of conventional drug treatment.The rate of success labor induction,the incidence of adverse events,the volume of blood loss,the menstrual recovery time,hospital stay time,or the change of quality of life before and after treatment of the patients was compared between the two groups.Results:The success rate of labor induction of the patients in the study group(93.6%)was significant higher than that(74.5%)of the patients in the control group,and the incidence of adverse events(8.5%)of the patients in the study group was significant lower than that(38.3%)of the patients in the control group.The volume of blood loss(125.1±15.1ml),the menstrual recovery time(36.8±3.5d),and the hospital stay time(6.1±1.3d)of the patients in the study group were all significant lower than those(158.2±18.3ml,44.5±3.2d,and 8.7±1.4d)of the patients in the control group(all P<0.05).Compared with those before treatment,the quality of life scores of the patients in both groups had increased significantly after 1 month of treatment,and those of the patients in the study group were significant higher than those of the patients in the control group(P<0.05).Conclusion:Uterine artery embolization used in labor induction of patients with scarred uterus pregnancy in uterus antetheca and complete placenta previa during the second trimester of pregnancy has significant effectivenes

关 键 词：瘢痕子宫妊娠 完全性胎盘前置 中期引产 子宫动脉栓塞术 效果 

分 类 号：R71[医药卫生—妇产科学]