中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
30期
3-5
,共3页
子宫动脉栓塞%髂内动脉栓塞术%完全性前置胎盘%引产
子宮動脈栓塞%髂內動脈栓塞術%完全性前置胎盤%引產
자궁동맥전새%가내동맥전새술%완전성전치태반%인산
Uterine arterial embolization%Internal iliac artery embolization%Complete placenta previa%Induced abortion
目的：：探讨动脉栓塞术在完全性前置胎盘状态引产中的应用价值。方法：采用Seldinger技术对35例中晚期妊娠完全性前置胎盘状态需要终止妊娠者进行子宫动脉栓塞术或者髂内动脉栓塞术，同时应用利凡诺尔和米非司酮引产治疗。结果：29例孕妇于栓塞术后10~132 h，平均(32.50±5.53)h娩出胎儿及附属物，术后及产后24 h出血平均(198.0±13.5) ml；5例孕妇因产前出血多急诊行剖宫产终止妊娠；1例介入后立即剖宫取胎。无一例子宫切除。35例引产后平均(46.00±3.45)d恢复月经。结论：在中晚期妊娠完全性前置胎盘状态引产前先行动脉栓塞术是预防和减少出血的一个安全、可行的新途径。
目的：：探討動脈栓塞術在完全性前置胎盤狀態引產中的應用價值。方法：採用Seldinger技術對35例中晚期妊娠完全性前置胎盤狀態需要終止妊娠者進行子宮動脈栓塞術或者髂內動脈栓塞術，同時應用利凡諾爾和米非司酮引產治療。結果：29例孕婦于栓塞術後10~132 h，平均(32.50±5.53)h娩齣胎兒及附屬物，術後及產後24 h齣血平均(198.0±13.5) ml；5例孕婦因產前齣血多急診行剖宮產終止妊娠；1例介入後立即剖宮取胎。無一例子宮切除。35例引產後平均(46.00±3.45)d恢複月經。結論：在中晚期妊娠完全性前置胎盤狀態引產前先行動脈栓塞術是預防和減少齣血的一箇安全、可行的新途徑。
목적：：탐토동맥전새술재완전성전치태반상태인산중적응용개치。방법：채용Seldinger기술대35례중만기임신완전성전치태반상태수요종지임신자진행자궁동맥전새술혹자가내동맥전새술，동시응용리범낙이화미비사동인산치료。결과：29례잉부우전새술후10~132 h，평균(32.50±5.53)h면출태인급부속물，술후급산후24 h출혈평균(198.0±13.5) ml；5례잉부인산전출혈다급진행부궁산종지임신；1례개입후립즉부궁취태。무일례자궁절제。35례인산후평균(46.00±3.45)d회복월경。결론：재중만기임신완전성전치태반상태인산전선행동맥전새술시예방화감소출혈적일개안전、가행적신도경。
Objective:To evaluate the efficacy of application of artery embolization in induced abortion with complete placenta previa.Method:Using standard Seldinger technique,35 pregnant women in their second and third trimester pregnancy with complete placenta previa required termination of pregnancy underwent super-selection to uterine artery embolization or internal iliac artery embolization and simultaneous induction of labor with rivanol combined with mifepristone. Result:Delivery of the fetus and its accessories achieved after 10-132 h(32.50 h±5.53 h) in 29 women,with postoperative and postpartum hemorrhage of (198.0±13.5)ml on average in 24 h,and another 5 required emergency cesarean delivery due to antepartum haemorrhage,one case required emergency cesarean after uterine artery embolization.The total 35 refused hysterectomy,and regular menstruation occurred on average of (46.00±3.45)d after the procedure. Conclusion:Pre-operative arterial embolization can make safe induction of labor for pregnant women in their second and third trimester pregnancy with complete placenta previa and prevent or reduce potential intra-operative bleeding.
