中止妊娠前子宫动脉栓塞术预防宫内大出血应用价值

发布时间：2018-01-03 23:15

本文关键词：中止妊娠前子宫动脉栓塞术预防宫内大出血应用价值　出处：《介入放射学杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨中止妊娠前子宫动脉栓塞术(UAE)预防宫内大出血的应用价值,评估UAE术对患者再孕有无影响。方法回顾性分析2011年1月至2015年7月采用UAE术预防宫内大出血患者82例临床资料,观察术后引产和清宫临床效果,追踪患者性激素水平,月经和再孕情况。结果 82例患者中止妊娠前接受UAE术,预防子宫大出血有效率为93.91%(77/82),保宫率为98.78%(81/82);术后75例获随访3个月,71例月经恢复正常,9例再孕,无一例出现严重并发症或后遗症。结论中止妊娠前UAE术能有效预防宫内大出血并保留子宫,方法安全有效,临床应用价值高。
[Abstract]:Objective to evaluate the value of uterine artery embolization (UAE) in the prevention of intrauterine hemorrhage before termination of pregnancy. Methods from January 2011 to July 2015, 82 patients with intrauterine hemorrhage were treated with UAE. To observe the clinical effect of induced labor and uterine clearing after operation, to track the level of sex hormone, menstruation and re-pregnancy. Results 82 cases were treated with UAE before termination of pregnancy. The effective rate of preventing uterine hemorrhage was 93.91% / 82%, and the rate of protecting uterus was 98.78% / 82%; 75 cases were followed up for 3 months. There were 71 cases of menorrhagia returning to normal in 9 cases. No serious complications or sequelae occurred. Conclusion UAE before termination of pregnancy can effectively prevent intrauterine hemorrhage and preserve uterus. The method is safe and effective and has high clinical application value.
【作者单位】：重庆医科大学附属永川医院介入科;
【分类号】：R169.42
【正文快照】： 子宫动脉栓塞术(UAE)治疗急性产后出血创伤小、疗效显著,得到了广泛应用和认可。随着微创技术在妇产科迅速发展,UAE术预防宫内出血也逐渐应用于临床,但相关文献报道尚少[1-3]。本文回顾性分析重庆医科大学附属永川医院采用UAE术预防宫内出血患者临床资料,现报道如下。1材料与

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