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中华介入放射学电子杂志 ›› 2016, Vol. 04 ›› Issue (02) : 82 -85. doi: 10.3877/cma.j.issn.2095-5782.2016.02.006

所属专题: 文献

血管介入

子宫动脉栓塞术在前置胎盘孕妇引产前应用的疗效观察
冯智博1, 易小宇1, 刘智勇1, 覃汉德1, 余雷1,()   
  1. 1. 530021 广西壮族自治区人民医院普通介入诊疗科
  • 收稿日期:2016-04-03 出版日期:2016-05-01
  • 通信作者: 余雷

The efficacy of uterine artery embolization before the odinopoeia of gravidas with placenta previa

Zhibo Feng1, Xiaoyu Yi1, Zhiyong Liu1, Hande Qin1, Lei Yu1,()   

  1. 1. Department of General Interventional Radiology, The People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
  • Received:2016-04-03 Published:2016-05-01
  • Corresponding author: Lei Yu
  • About author:
    Corresponding author:Yu Lei, Email:
引用本文:

冯智博, 易小宇, 刘智勇, 覃汉德, 余雷. 子宫动脉栓塞术在前置胎盘孕妇引产前应用的疗效观察[J/OL]. 中华介入放射学电子杂志, 2016, 04(02): 82-85.

Zhibo Feng, Xiaoyu Yi, Zhiyong Liu, Hande Qin, Lei Yu. The efficacy of uterine artery embolization before the odinopoeia of gravidas with placenta previa[J/OL]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(02): 82-85.

目的:

评估子宫动脉栓塞术(UAE)在前置胎盘孕妇引产前应用的疗效。

方法:

选取2011年在我院实施引产且合并前置胎盘的患者40例,根据患者及其家属意愿分为两组,实验组20例引产前行双侧UAE治疗,然后行利凡诺羊膜腔注射+米非司酮药物引产;对照组20例单纯行利凡诺羊膜腔注射+米非司酮药物引产。比较两组引产过程中出血量、产后出血量、全子宫切除的发生率,两组患者随访1~2年,比较两组患者再次妊娠的成功率,评估UAE在前置胎盘孕妇引产前应用的疗效。

结果:

实验组引产过程中出血量明显低于对照组(ml:109.65±29.98 vs. 134.33±17.72,t=2.308,P<0.05),实验组引产后出血量明显低于对照组(ml:112.41±20.70 vs. 138.00±32.50,t=2.057,P<0.05),实验组引产后刮宫出血量明显低于对照组(ml:69.17±26.16 vs. 93.50±12.03,t=5.582,P<0.05),实验组子宫切除的发生率与对照组相比差异无统计学意义(15% vs. 25%,χ2=0.156,P>0.05),再次妊娠的成功率,两组比较差异无统计学意义(29.4% vs. 40.0%,χ2=0.396,P>0.05)。

结论:

合并前置胎盘的孕妇引产前行UAE能减少引产过程中及引产后的出血量,减少引产后刮宫过程中的出血量,而且对患者的生育能力影响较小。

Objective:

To evaluate the curative effect of Uterine artery embolization (UAE) in gravidas with placenta previa before the odinopoeia.

Methods:

40 patients with placenta previa admitted to our hospital for odinopoeia in 2011 were selected in this study. On their consent, they were divided into two groups. with one group (experimental group) who would receive UAE before the odinopoeia, and the other group (contrast group) who would only take Rivanol and Mifepristone during odinopoeia. A comparison was made between the two groups in terms of blood loss during the odinopoeia and postpartum, and the occurrence of total hysterectomy. All the patients in our study were followed-up for 1~2 years for further evaluation of the effect of UAE in pregnant women with placenta previa before the odinopoeia and their getting pregnancy rate in both groups.

Results:

The blood loss in the process of odinopoeia in experimental group was significantly lower than that in contrast group (ml: 109.65±29.98 vs. 134.33±17.72, t=2.308, P<0.05), and the same result was observed in Postpartum blood loss(ml:112.41±20.70 vs. 138.00±32.50, t=2.057, P<0.05)、curettage bleeding (ml:69.17±26.16 vs. 93.50±12.03, t=5.582, P<0.05). However, there is not much difference between the two groups for the occurrence of total hysterectomy rate (15% vs. 25%, χ2=0.156, P>0.05) and getting pregnancy again rate (29.4% vs. 40.0%, χ2=0.396, P>0.05).

Conclusions:

The UAE can reduce the blood loss in the process of odinopoeia、postpartum for gravidas with placenta previa, and it has little effect on such patients’ fertility.

表1 实验组和对照组各项观察指标比较
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