子宫动脉栓塞术在前置胎盘孕妇引产前应用的疗效观察

发布时间：2018-02-17 05:08

本文关键词： 双侧子宫动脉栓塞术前置胎盘引产出血　出处：《中华介入放射学电子杂志》2016年02期 　论文类型：期刊论文

【摘要】：目的:评估子宫动脉栓塞术(UAE)在前置胎盘孕妇引产前应用的疗效。方法:选取2011年在我院实施引产且合并前置胎盘的患者40例,根据患者及其家属意愿分为两组,实验组20例引产前行双侧UAE治疗,然后行利凡诺羊膜腔注射+米非司酮药物引产;对照组20例单纯行利凡诺羊膜腔注射+米非司酮药物引产。比较两组引产过程中出血量、产后出血量、全子宫切除的发生率,两组患者随访1~2年,比较两组患者再次妊娠的成功率,评估UAE在前置胎盘孕妇引产前应用的疗效。结果:实验组引产过程中出血量明显低于对照组(ml:109.65±29.98 vs.134.33±17.72,t=2.308,P0.05),实验组引产后出血量明显低于对照组(ml:112.41±20.70 vs.138.00±32.50,t=2.057,P0.05),实验组引产后刮宫出血量明显低于对照组(ml:69.17±26.16 vs.93.50±12.03,t=5.582,P0.05),实验组子宫切除的发生率与对照组相比差异无统计学意义(15%vs.25%,χ~2=0.156,P0.05),再次妊娠的成功率,两组比较差异无统计学意义(29.4%vs.40.0%,χ~2=0.396,P0.05)。结论:合并前置胎盘的孕妇引产前行UAE能减少引产过程中及引产后的出血量,减少引产后刮宫过程中的出血量,而且对患者的生育能力影响较小。
[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 卤29.98 卤17.72 vs.134.33 卤17.72 vs.134.33 卤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 卤20.70 vs.138.00 卤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 卤20.70 vs.138.00 卤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.
【作者单位】：广西壮族自治区人民医院普通介入诊疗科;
【分类号】：R719.3

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