[1]马俊*,陈葵喜,程珊,等.子宫动脉栓塞术治疗凶险性前置胎盘的应用效果评价[J].中国计划生育和妇产科,2017,(11):43-46.
　MA Jun*,CHEN Kui-xi,CHENG Shan,et al.Evaluation of the effect of uterine artery embolization in the treatment of dangerous placenta previa[J].Chinese Journal of Family Planning & Gynecotokology,2017,(11):43-46.
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子宫动脉栓塞术治疗凶险性前置胎盘的应用效果评价
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年11期
页码:
43-46
栏目:
论著与临床
出版日期:
2017-11-25

文章信息/Info

Title:
Evaluation of the effect of uterine artery embolization in the treatment of dangerous placenta previa
作者:
马俊*; 陈葵喜; 程珊; 吴间开; 颜为红
江油市九○三医院妇产科
Author(s):
MA Jun*; CHEN Kui-xi; CHENG Shan; WU Jian-kai; YAN Wei-hong
Department of Obstetrics and Gynecology，Jiangyou City 903 Hospital，Jiangyou Sichuan 621700，P.R.China
关键词:
子宫动脉栓塞术; 凶险性前置胎盘; 剖宫产术; 出血
Keywords:
uterine artery embolization;  dangerous placenta previa;  cesarean section;  bleeding
分类号:
R 71446+2
摘要:
目的研究对凶险性前置胎盘患者行子宫动脉栓塞术（uterine artery embolization ,UAE）的临床应用效果。 方法回顾性分析江油市九○三医院产科2013年3月至2016年3月收治的46例凶险型前置胎盘患者的病例资料，根据术中采用的不同处置方式分为两组，两组均采取剖宫术。对照组22例，术中采取常规手段止血；研究组24例，术前进行股动脉穿刺留置预置管至腹主动脉，术中行UAE，亦采取常规方法止血；两组出血情况无法阻止时采取切除子宫。比较两组手术中出血及输血情况、手术耗时、子宫切除率、术后并发症、术后短期及长期恢复情况。 结果研究组术中出血量［(56242± 9412) mL］显著少于对照组［(80467±12438) mL］；研究组术后24 h 出血量［(44243±12452) mL］明显少于对照组［(73456±21834) mL］; 研究组输血量［(48245±2653) mL］明显少于对照组［(63756±3478) mL］;研究组的子宫切除率、弥散性血管内凝血发生率、失血休克率显著低于对照组，差异均有统计学意义(P﹤005)。结论在凶险型前置胎盘剖宫产中进行UAE，能够减少产妇失血，降低输血用量，减少并发症发生的风险。
Abstract:
ObjectiveTo study the effect of uterine artery embolization in treatment of malignant placenta previa patients. Methods46 pregnant women with dangerous placenta previa patients in Jiangyou City 903 Hospital from March 2011 to March 2016 were divided into two groups according to different treatment methods used in the operation: the study group(24 cases ) and the control group (22 cases). The two groups underwent cesarean section; the control group took conventional means of surgery to stop bleeding, and if the bleeding could not be stopped the hysterectomy was performed;The study group also adopted conventional methods to stop bleeding, and if the bleeding could not be stopped the uterine artery embolization was performed. The amount of blood loss and blood transfusion, operation time and short-term and long-term recovery were compared between the two groups. ResultsThe amount of blood loss in the study group［(562 42 ± 9412) mL］ was significantly lower than that in the control group ［(804 67 ± 12438) mL］(P<001); The 24h post operation bleeding volume in the study group［(44243 ± 12452 )mL］ was significantly lower than that of the control group［(73456 ± 21834) mL］(P<001);The blood transfusion of the study group［(48245 ± 2653) mL］ was significantly lower than that of the control group［(63756 ± 3478) mL］ (P<005); The rate of hysterectomy, DIC and hemorrhagic shock were significantly lower in the study group than in the control group(P<005). ConclusionUterine artery embolization to stop bleeding in the treatment of malignant placenta previa can reduce the incidence of complications, reduce maternal blood loss and reduce the amount of blood transfusion.

参考文献/References:

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更新日期/Last Update: 2017-11-25