中华产科急救电子杂志
中華產科急救電子雜誌
중화산과급구전자잡지
Chinese Journal of Obstetric Emergency
2014年
4期
276-279
,共4页
胎盘,侵入性%栓塞,治疗性%三维CTA%结果评价
胎盤,侵入性%栓塞,治療性%三維CTA%結果評價
태반,침입성%전새,치료성%삼유CTA%결과평개
Placenta accreta%Embolization,therapeutic%Three-dimensional CTA%Outcome assessment
目的：探讨三维计算机体层摄影血管成像（ computerized tomography angiography， CTA）超选择胎盘植入的供血动脉栓塞治疗胎盘植入患者的治疗效果。方法收集并分析2010年2月至2013年12月就诊于南方医科大学附属花都医院围产医学中心70例胎盘植入患者的临床资料，35例患者应用三维CTA超选择胎盘植入的供血动脉栓塞为实验组，35患者例选择子宫动脉栓塞为对照组，对两组患者的术前一般情况、术中、术后及预后情况进行比较。结果实验组胎盘组织排出时间为（7．05±1．28） d、术后β－hCG为（5．35±0．67） U／L、术后出血量为（9．78±0．34） ml，对照组胎盘组织排出时间为（12．36±1．95） d、术后β－hCG为（6．97±0．99） U／L、术后出血量为（15．22±1．96）ml，两组患者各项临床检测指标比较，t值分别为4．102，4．009，4．135，P均＜0．01，差异有统计学意义。实验组无患者发生宫腔感染，但对照组有3例。结论三维CTA辅助下行超选择胎盘植入的供血动脉治疗胎盘植入具有安全、微创、止血迅速、可保留子宫等优点，有较高的临床应用价值。
目的：探討三維計算機體層攝影血管成像（ computerized tomography angiography， CTA）超選擇胎盤植入的供血動脈栓塞治療胎盤植入患者的治療效果。方法收集併分析2010年2月至2013年12月就診于南方醫科大學附屬花都醫院圍產醫學中心70例胎盤植入患者的臨床資料，35例患者應用三維CTA超選擇胎盤植入的供血動脈栓塞為實驗組，35患者例選擇子宮動脈栓塞為對照組，對兩組患者的術前一般情況、術中、術後及預後情況進行比較。結果實驗組胎盤組織排齣時間為（7．05±1．28） d、術後β－hCG為（5．35±0．67） U／L、術後齣血量為（9．78±0．34） ml，對照組胎盤組織排齣時間為（12．36±1．95） d、術後β－hCG為（6．97±0．99） U／L、術後齣血量為（15．22±1．96）ml，兩組患者各項臨床檢測指標比較，t值分彆為4．102，4．009，4．135，P均＜0．01，差異有統計學意義。實驗組無患者髮生宮腔感染，但對照組有3例。結論三維CTA輔助下行超選擇胎盤植入的供血動脈治療胎盤植入具有安全、微創、止血迅速、可保留子宮等優點，有較高的臨床應用價值。
목적：탐토삼유계산궤체층섭영혈관성상（ computerized tomography angiography， CTA）초선택태반식입적공혈동맥전새치료태반식입환자적치료효과。방법수집병분석2010년2월지2013년12월취진우남방의과대학부속화도의원위산의학중심70례태반식입환자적림상자료，35례환자응용삼유CTA초선택태반식입적공혈동맥전새위실험조，35환자례선택자궁동맥전새위대조조，대량조환자적술전일반정황、술중、술후급예후정황진행비교。결과실험조태반조직배출시간위（7．05±1．28） d、술후β－hCG위（5．35±0．67） U／L、술후출혈량위（9．78±0．34） ml，대조조태반조직배출시간위（12．36±1．95） d、술후β－hCG위（6．97±0．99） U／L、술후출혈량위（15．22±1．96）ml，량조환자각항림상검측지표비교，t치분별위4．102，4．009，4．135，P균＜0．01，차이유통계학의의。실험조무환자발생궁강감염，단대조조유3례。결론삼유CTA보조하행초선택태반식입적공혈동맥치료태반식입구유안전、미창、지혈신속、가보류자궁등우점，유교고적림상응용개치。
Objective To evaluate the clinical efficacy of three-dimensional computerized tomography angiography( CTA) super selective supplying artery embolization in treating placenta increta;The supplying artery is for placenta increta.Methods The clinical data of 70 placenta increta patients were collected in Huadu Hospital Affiliated to Southern Medical University from February 2010 to December 2013.The patients were divided into two groups:35 patients with three-dimensional CTA super selective artery embolization were in the treatment group, 35 patients with uterine artery embolization were in the control group.The clinical condition about patients during preoperative, intraoperative, and postoperative and prognosis of two groups were compared.Results In the treatment group, the time of placental tissue discharge were (7.05 ±1.28) days, the level of β-human chorionic gonadotropin(β-hCG) was (5.35 ± 0.67) U/L, and the amount of postoperative bleeding was (9.78 ±0.34) ml.In the control group, the data were (12.36 ±1.95) days, (6.97 ±0.99)U/L, and (15.22 ±1.96)ml, respectively.There were significant differences in the two groups;t=4.102, 4.009, and 4.135 (all P value<0.01).There was none patient had uterus cavity infection in control group, but there were 3 patients had uterus cavity infection in treatment group.Conclusions The advantages of three-dimensional CTA super selective uterine artery embolization are safe, mini-invasive, stopping bleeding quickly, and reserving uterine for placenta increta patients.The therapeutic method has high clinical application value.
