子宫动脉栓塞术联合药物处置在中晚期完全性前置胎盘引产中的临床应用  

Clinical Application of Uterine Artery Embolization Combined with Pharmacological Disposition in Induction of Labor with Complete Placenta Previa in Middle and Late Stage

作　　者：武开山 杨晓棠 薛莲 刘昊元 何玉珊 Wu Kaishan;Yang Xiaotang;Xue Lian;Liu Haoyuan;He Yushan(Department of Obstetrics and Gynecology,Zhangye People's Hospital Affiliated to Hexi University,Zhangye 734000,Gansu Province,China;Intervention Room,Zhangye People's Hospital Affiliated to Hexi University,Zhangye 734000,Gansu Province,China)

机构地区：[1]河西学院附属张掖人民医院妇产科,甘肃张掖734000 [2]河西学院附属张掖人民医院介入室,甘肃张掖734000

出　　处：《中外医药研究》2024年第5期69-71,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：河西学院校长基金创新团队项目(编号:QN2022023)。

摘　　要：目的:分析子宫动脉栓塞术(UAE)联合药物处置在中晚期完全性前置胎盘引产中的应用效果。方法:选取2022年1月—2023年8月于河西学院附属张掖人民医院行孕中晚期前置胎盘引产患者86例为研究对象,采用随机数字表法分为对照组(n=40)和研究组(n=46)。对照组采用依沙吖啶羊膜腔内注射术联合米非司酮治疗,研究组子宫动脉栓塞术后即行依沙吖啶羊膜腔内注射。比较两组治疗相关指标、胎儿及附属物完全排出率、急诊剖宫产率、并发症发生率。结果:研究组引产时间、住院时间短于对照组,出血量低于对照组,住院费用高于对照组,差异有统计学意义(P<0.001);两组恶露排出时间及月经恢复时间比较,差异无统计学意义(P>0.05)。研究组胎儿及附属物完全排出率高于对照组,急诊剖宫产率低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P=0.041)。结论:UAE联合药物处置在中晚期完全性前置胎盘引产中的效果确切,可有效提高引产效果,缩短住院时间,减少出血量,避免转急诊剖宫产,并发症较少。Objective:To analyze the application effect of uterine artery embolization(UAE)combined with pharmacological disposition in the induction of labor with complete placenta previa in the middle and late stages.Methods:Eighty-six patients with mid-late pregnancy placenta previa induced labor in Zhangye People's Hospital Affiliated to Hexi University were selected as the study subjects,and were divided into the control group(n=40)and the study group(n=46)by using the randomized numerical table method.The control group was treated with ethacridine intra-amniotic injection combined with mifepristone,and the study group was treated with ethacridine intra-amniotic injection immediately after uterine artery embolization.The treatment-related indexes,complete expulsion rate of fetus and appendages,emergency cesarean section rate,and complication rate between the two groups were compared.Results:The induced labor time and hospitalization time of the study group were shorter than that of the control group,the bleeding amount was lower than that of the control group,and the hospitalization cost was higher than that of the control group,with statistically significant differences(P<0.001);the differences in the time for the discharge of the evil discharge and the time for the recovery of menstruation between the two groups were not statistically significant(P>0.05).The rate of complete expulsion of fetus and appendages in the study group was higher than that of the control group,and the rate of emergency cesarean section was lower than that of the control group,with a statistically significant difference(P<0.05).The rate of complications in the study group was lower than that of the control group,with a statistically significant difference(P=0.041).Conclusion:The effect of UAE combined with drug disposal in mid-late complete placenta previa induction is exact,which can effectively improve the effect of induction,shorten the hospitalization time,reduce the amount of bleeding,avoid the referral to emergency cesarean section,and ha

关 键 词：子宫动脉栓塞术 中晚期完全性前置胎盘 依沙吖啶 米非司酮 引产 

分 类 号：R719.3[医药卫生—妇产科学]