本文關(guān)鍵詞： 雙側(cè)子宮動(dòng)脈栓塞術(shù) 前置胎盤 引產(chǎn) 出血　出處：《中華介入放射學(xué)電子雜志》2016年02期 　論文類型：期刊論文

【摘要】：目的:評(píng)估子宮動(dòng)脈栓塞術(shù)(UAE)在前置胎盤孕婦引產(chǎn)前應(yīng)用的療效。方法:選取2011年在我院實(shí)施引產(chǎn)且合并前置胎盤的患者40例,根據(jù)患者及其家屬意愿分為兩組,實(shí)驗(yàn)組20例引產(chǎn)前行雙側(cè)UAE治療,然后行利凡諾羊膜腔注射+米非司酮藥物引產(chǎn);對(duì)照組20例單純行利凡諾羊膜腔注射+米非司酮藥物引產(chǎn)。比較兩組引產(chǎn)過(guò)程中出血量、產(chǎn)后出血量、全子宮切除的發(fā)生率,兩組患者隨訪1~2年,比較兩組患者再次妊娠的成功率,評(píng)估UAE在前置胎盤孕婦引產(chǎn)前應(yīng)用的療效。結(jié)果:實(shí)驗(yàn)組引產(chǎn)過(guò)程中出血量明顯低于對(duì)照組(ml:109.65±29.98 vs.134.33±17.72,t=2.308,P0.05),實(shí)驗(yàn)組引產(chǎn)后出血量明顯低于對(duì)照組(ml:112.41±20.70 vs.138.00±32.50,t=2.057,P0.05),實(shí)驗(yàn)組引產(chǎn)后刮宮出血量明顯低于對(duì)照組(ml:69.17±26.16 vs.93.50±12.03,t=5.582,P0.05),實(shí)驗(yàn)組子宮切除的發(fā)生率與對(duì)照組相比差異無(wú)統(tǒng)計(jì)學(xué)意義(15%vs.25%,χ~2=0.156,P0.05),再次妊娠的成功率,兩組比較差異無(wú)統(tǒng)計(jì)學(xué)意義(29.4%vs.40.0%,χ~2=0.396,P0.05)。結(jié)論:合并前置胎盤的孕婦引產(chǎn)前行UAE能減少引產(chǎn)過(guò)程中及引產(chǎn)后的出血量,減少引產(chǎn)后刮宮過(guò)程中的出血量,而且對(duì)患者的生育能力影響較小。
[Abstract]:Objective: to evaluate the efficacy of uterine artery embolization (UAE) before induced labor in pregnant women with placenta previa. Methods: 40 patients with induced labor and associated placenta previa in our hospital on 2011 were divided into two groups according to the wishes of the patients and their families. 20 cases in the experimental group were treated with bilateral UAE before induction of labor, then mifepristone was injected into the amniotic cavity of rivanol to induce labor, and 20 cases in the control group were treated with mifepristone alone in the amniotic cavity of rivanol. The amount of bleeding during the induction of labor was compared between the two groups. The volume of postpartum hemorrhage, the incidence of total hysterectomy, and the follow-up of 1 ~ 2 years in the two groups were compared to compare the success rate of re-pregnancy between the two groups. Results: the amount of blood loss during labor induction in the experimental group was significantly lower than that in the control group (ml: 109.65 鹵29.98 鹵17.72 vs.134.33 鹵17.72 vs.134.33 鹵2.308 vs.134.33, P 0.05), and the blood loss in the experimental group was significantly lower than that in the control group (112.41 鹵20.70 vs.138.00 鹵32.50 t2.057 vs.138.00, P 0.05), and in the experimental group, it was significantly lower than that in the control group (P 0.05), and the blood loss in the experimental group was significantly lower than that in the control group (1 12.41 鹵20.70 vs.138.00 鹵32.50 t 2.05 7 vs.138.00). Compared with the control group, the rate of hysterectomy in the experimental group was not significantly different from that in the control group. There was no significant difference in the incidence of hysterectomy between the experimental group and the control group. There was no significant difference in the incidence of hysterectomy between the experimental group and the control group. There was no significant difference in the incidence of hysterectomy between the experimental group and the control group, and there was no significant difference between the two groups. There was no significant difference between the two groups (29.4vs.40.0. 蠂 ~ 2 ~ (2)) 0.396m (P0.05). Conclusion: UAE before induced labor in pregnant women with placenta previa can reduce the amount of bleeding during and after induced labor, reduce the amount of bleeding in the process of uterine curettage after induced labor, and have little effect on the fertility of patients.
【作者單位】： 廣西壯族自治區(qū)人民醫(yī)院普通介入診療科;
【分類號(hào)】：R719.3

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