彩色多普勒超声引导下无水酒精注射治疗胎盘残留与植入的临床研究  

Color Doppler Ultrasonography-Guided Anhydrous Alcohol Injection Therapy for Placental Remain and Implantation

作　　者：赵翠凤 阳玉晶 傅彬 荣春艳 李凤江 文桂琼[2] Zhao Cuifeng;Yang Yujing;Fu Bin;Rong Chunyan;Li Fengjiang;Wen Guiqiong(The Second Affiliated Hospital of Guilin Medical University,Guilin 541100,China;Affiliated Hospital of Guilin Medical University,Guilin 541100,China)

机构地区：[1]桂林医学院第二附属医院,桂林市541100 [2]桂林医学院附属医院,桂林市541000

出　　处：《中国超声医学杂志》2023年第2期224-226,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 探讨彩色多普勒超声引导下局部注射无水酒精治疗胎盘残留、植入的临床疗效。方法 对34例流产、引产及产后胎盘残留与植入患者,采用彩色多普勒超声引导穿刺无水酒精注射治疗胎盘残留、植入。观察治疗前后血β-HCG、残余胎盘面积、血流变化及阴道流血情况及预后,并记录分析并发症以及月经恢复情况。结果 34例患者中,28例治疗前血β-HCG较高者,治疗后1周内、2周内、3周内血β-HCG下降幅度分别为:89%、91%、93%;3个月、6个月胎盘面积分别减少74%、77%,胎盘组织消失分别为8例(25%)、13例(40%);34例患者治疗后1~7 d内阴道流血停止。34例患者均无严重并发症发生;治疗后随访6个月,34例患者月经复潮;13例患者再次怀孕。结论 经彩色多普勒超声引导下局部注射无水酒精治疗胎盘残留、植入安全有效,疗效显著,不良反应少。Objective To explored the clinical effect of color Doppler ultrasonography-guided anhydrous alcohol injection therapy for placental remain and implantation. Methods 34 cases diagnosed placental remain or implantation after spontaneous abortion, labor induction, or postpartum were treated by color Doppler ultrasonography-guided anhydrous alcohol injection. Serum beta-human chorionic gonadotropin(β-HCG) levels, areas of residual placenta tissue, placental blood flow signals, and vaginal bleeding before and after treatment were recorded, and the complications and menstrual recovery were recorded and analyzed. Results In the 34 patients, 28 patients with higher serum β-HCG index before treatment decreased by 89%, 91%, and 93% respectively within 1 week, 2 weeks, and 3 weeks after treatment. Within 3 and 6 months, the areas of residual placental tissue were reduced by 74% and 77%, and the placental tissue disappeared in 8 cases(25%) and 13 cases(40%), respectively. No serious complication was observed in the 34 patients. At the 6-month follow-up visit, normal menstruation was noted in all 34 patients, and 13 patients were pregnant again. Conclusions Color Doppler ultrasonography-guided anhydrous alcohol injection therapy for placental remain and implantation is effective and safe. The curative effect is remarkable, with fewer adverse reactions.

关 键 词：胎盘残留与植入 彩色多普勒超声 无水酒精 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.2[医药卫生—诊断学]