中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2014年
8期
39-41
,共3页
髂内动脉栓塞术%利凡诺羊膜腔内注射%中央性前置胎盘%米非司酮
髂內動脈栓塞術%利凡諾羊膜腔內註射%中央性前置胎盤%米非司酮
가내동맥전새술%리범낙양막강내주사%중앙성전치태반%미비사동
internal iliac artery embolization%intra-amniotic Rivanol injection%central placenta previa%Mifepristone
目的：探讨米非司酮加利凡诺羊膜腔内注射联合髂内动脉栓塞术作为中晚期妊娠合并中央性前置胎盘终止妊娠的可行性及疗效。方法选取2011年7月至2013年3月在南京医科大学附属淮安第一医院就诊的8例中晚期妊娠合并中央性前置胎盘引产患者，引产术前均口服米非司酮50 mg，2次/d，1例因考虑胎盘早剥，直接行髂内动脉栓塞术，其余7例24~48 h后采用Seldinger技术在B超介导下予利凡诺100 mg羊膜腔内注射，12 h后进行选择性双侧髂内动脉前干栓塞术。结果8例患者行髂内动脉栓塞术后6例平均36 h排出胎儿及其附属物，1例6 d后加行水囊引产排出胎儿及其附属物，1例直接行髂内动脉栓塞术后4 h排出胎儿及其附属物，平均35 d恢复月经来潮。结论髂内动脉栓塞术联合利凡诺羊膜腔内注射引产可有效减少产后出血，保留子宫，操作简单，安全性高。
目的：探討米非司酮加利凡諾羊膜腔內註射聯閤髂內動脈栓塞術作為中晚期妊娠閤併中央性前置胎盤終止妊娠的可行性及療效。方法選取2011年7月至2013年3月在南京醫科大學附屬淮安第一醫院就診的8例中晚期妊娠閤併中央性前置胎盤引產患者，引產術前均口服米非司酮50 mg，2次/d，1例因攷慮胎盤早剝，直接行髂內動脈栓塞術，其餘7例24~48 h後採用Seldinger技術在B超介導下予利凡諾100 mg羊膜腔內註射，12 h後進行選擇性雙側髂內動脈前榦栓塞術。結果8例患者行髂內動脈栓塞術後6例平均36 h排齣胎兒及其附屬物，1例6 d後加行水囊引產排齣胎兒及其附屬物，1例直接行髂內動脈栓塞術後4 h排齣胎兒及其附屬物，平均35 d恢複月經來潮。結論髂內動脈栓塞術聯閤利凡諾羊膜腔內註射引產可有效減少產後齣血，保留子宮，操作簡單，安全性高。
목적：탐토미비사동가리범낙양막강내주사연합가내동맥전새술작위중만기임신합병중앙성전치태반종지임신적가행성급료효。방법선취2011년7월지2013년3월재남경의과대학부속회안제일의원취진적8례중만기임신합병중앙성전치태반인산환자，인산술전균구복미비사동50 mg，2차/d，1례인고필태반조박，직접행가내동맥전새술，기여7례24~48 h후채용Seldinger기술재B초개도하여리범낙100 mg양막강내주사，12 h후진행선택성쌍측가내동맥전간전새술。결과8례환자행가내동맥전새술후6례평균36 h배출태인급기부속물，1례6 d후가행수낭인산배출태인급기부속물，1례직접행가내동맥전새술후4 h배출태인급기부속물，평균35 d회복월경래조。결론가내동맥전새술연합리범낙양막강내주사인산가유효감소산후출혈，보류자궁，조작간단，안전성고。
Objective To investigate the feasibility and effect of Mifepristone and intra-amniotic Rivanol injection combined With internal iliac artery embolization in termination gestation for patients With central placenta previa in second and third trimester. Methods 8 cases With central placenta previa underWent induced labor in The First Hospital of Huai’an Affiliated to Nanjing Medical University from July 2011 to March 2013 Were selected,all cases tooK an oral dose of 50 mg Mifepristone before induced labor,tWice per day,1 case Was given internal iliac artery embolization directly considering placental abruption,7 cases Were given an intra -amniotic injection of 100 mg Rivanol under ultrasonography by Seldinger technology 24 to 48 h later,and received selective bilateral anterior branches of internal iliac artery embolization 12 h later. Results Of the 8 cases,6 cases discharged fetus and its appendages 36 h after operation on average. 1 case aborted combining With Water bag 6 days after operation. 1 case Was given a single internal iliac <br> artery embolization aborted 4 hours after operation. All began to menstruate regularly 35 days after operation. Conclusion Intra-amniotic Rivanol injection combined With internal iliac artery embolization is not only effective in reducing postpartum hemorrhage, reserving uterus,but also simple and safe.
