CAJ | 학술논문

目的：探讨三维CTA超选择性动脉栓塞治疗植入性胎盘的临床疗效，并对其分析。方法：60例胎盘植入患者随机分为试验组和对照组。试验组在三维CTA辅助下行超选择植入性胎盘的供血动脉(子宫动脉卵巢支或者输卵管支)造影+栓塞，对照组行传统的子宫动脉造影+栓塞，栓塞的均不是既往的子宫动脉。检测两组出血、血压、胎盘组织排出、子宫复旧和血绒毛膜促性腺激素β亚单位(β-hCG)水平的差异。结果：试验组的各项临床检测指标与对照组相比较，差异有统计学意义(P<0.01)。结论：三维CTA辅助下行超选择植入性胎盘的供血动脉(子宫动脉卵巢支或者输卵管支)造影+栓塞具有安全、微创、止血迅速、可保留子宫等优点，有较高的临床应用价值。
목적：탐토삼유CTA초선택성동맥전새치료식입성태반적림상료효，병대기분석。방법：60례태반식입환자수궤분위시험조화대조조。시험조재삼유CTA보조하행초선택식입성태반적공혈동맥(자궁동맥란소지혹자수란관지)조영+전새，대조조행전통적자궁동맥조영+전새，전새적균불시기왕적자궁동맥。검측량조출혈、혈압、태반조직배출、자궁복구화혈융모막촉성선격소β아단위(β-hCG)수평적차이。결과：시험조적각항림상검측지표여대조조상비교，차이유통계학의의(P<0.01)。결론：삼유CTA보조하행초선택식입성태반적공혈동맥(자궁동맥란소지혹자수란관지)조영+전새구유안전、미창、지혈신속、가보류자궁등우점，유교고적림상응용개치。
Objective:To study clinical curative effect of the 3D CTA super selective arterial embolization in the treatment of implanted placenta,and analyse it.Method:60 cases of implanted placenta were randomly divided into the experimental group and control group.The experimental group in the 3D CTA auxiliary downward choosed implanting placental blood supply artery(uterine artery ovarian or tubal branch) to angiography plus embolization,the control group was treated with traditional uterus arteriography plus embolization.Uterine artery embolization was not before.To detect bleeding,blood pressure,placental tissue eduction,uterine instauration and blood chorionic gonadotropin beta subunits(beta hCG) level difference in two groups.Result:The clinical detection indicators of the experimental group compared with control group,there were statistical significance(P<0.01).Conclusion:3D CTA auxiliary downward choose implanting placental blood supply artery(uterine artery ovarian or tubal branch) angiography plus embolization is safe,minimally invasive,stops bleeding quickly,can retain the advantages of the uterus,have high clinical application value.