国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (4): 426-428.

• 论著 • 上一篇    下一篇

子宫动脉栓塞术在凶险型前置胎盘剖宫产中的疗效观察

黄燕，杨鹰   

  1. 400037 重庆，第三军医大学附属新桥医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-15 发布日期:2014-08-15
  • 通讯作者: 杨鹰

The Clinical Effects of Bilateral Uterine Artery Embolization in the Pernicious Placenta Previa

HUANG Yan，YANG Ying   

  1. Department of Obstetrics and Gynecology，Xinqiao Hospital，Third Military Medical University，Chongqing 400037，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-15 Online:2014-08-15
  • Contact: YANG Ying

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摘要： 目的：观察双侧子宫动脉栓塞术在凶险型前置胎盘剖宫产中的临床疗效。方法：凶险型前置胎盘行剖宫产终止妊娠者13例，剖宫产术中、术后均发生不同程度大出血，剖宫产术后立即行子宫动脉栓塞术止血治疗。结果：子宫动脉栓塞术后，12例阴道出血明显减少，1例因子宫下段血窦极其丰富，子宫动脉栓塞术后产妇阴道出血仍多，立即行子宫次全切除术。产妇介入术前后血红蛋白量均未见明显减少，术后子宫复旧好，未再次发生子宫大出血。结论：术后应用子宫动脉栓塞术治疗凶险型前置胎盘剖宫产术中、术后大出血患者，止血迅速，能够保留产妇子宫，是一种有效治疗方法。

关键词: 产后出血, 剖宫产术, 前置胎盘, 胎盘, 侵入性, 栓塞, 治疗性, 子宫切除术

Abstract: Objective： To observe the clinical effects of bilateral uterine artery embolization in the pernicious placenta previa after cesarean section. Methods：13 cases of pernicious placenta previa were terminating pregnancy by cesarean section. The perioperative period bleeding occurred in different degree，uterine artery embolization using immediately line after cesarean section for hemostasis. Results：After uterine artery embolization，12 cases of vaginal bleeding was significantly reduced，1 case as a result of the lower uterine segment blood sinus was extremely rich，maternal vaginal bleeding was still more，subtotal hysterectomy immediately. Before and after uterine artery embolization, hemoglobin showed no obvious reduced. Postoperative uterine had better recovery and no recurrence of uterine bleeding. Conclusions：Application of uterine artery embolization in pernicious placenta previa during cesarean section to hemostasis and preserve the uterus，is an effective treatment of uterine bleeding.

Key words: Postpartum hemorrhage, Cesarean section, Placenta previa, Placenta accreta, Embolization, therapeutic