子宫动脉栓塞术在胎盘前置引产中的应用观察

目的观察子宫动脉栓塞术在胎盘前置引产中的应用效果。方法将73例胎盘前置状态产妇随机分为观察组和对照组,对照组36例实施引产术后进行常规止血,观察组37例行子宫动脉拴塞术后实施引产术,观察两组的术中、术后出血量,子宫切除及并发症发生情况。结果观察组术中、术后出血量分别为（192．7±27．4）、（115．3±21．2）m1,均少于对照组的（348．7±51．4）、（147．5±24．4）ml（P〈0．01）;对照组因大出血子宫切除率为8.33％,观察组无一例切除子宫;观察组宫缩开始出现时间、恶露时间、月经复潮时间分别为（1134．6±145．1）min、（15．7±3．4）d、（43．1±5．8）d,均短于对照组的（1627．8±201．5）min、（18．2±4．1）d、（49．4±7．1）d（P〈0．05）。结论子宫动脉拴塞术用于前置胎盘产妇引产,可减少术中、术后出血量,缩短产妇术后康复时间,可作为处理前置胎盘引产的有效方法。

Clinical observation of uterine artery embolization in placenta previa induced labor

Objective To observe the application of uterine artery embolization （UAE） in placenta previa induced labor for decreasing the bleeding volume of maternal.Methods 73 cases of delivery women with placenta previa were divided into the control group and the observation group randomly.The control group （n=36） were given the general hemostasis after the operation of induced labor, the observation group （n=37） were given UAE before induced labor.The bleeding volume during operation and after operation,the incidence of hysterectomy and complications were observed.Results The bleeding volume during operation was （192.7±27.4） ml and after operation was （115.3±21.2） ml in the observation group,which were both lower than those of during operation （348.7±51.4） ml and after operation （147.5±24.4） ml in the control group （P〈0.01）.The time of beginning uterine contraction was （1134.6±145.1） min,the continuous time of col porrhagia was （15.7±3.4） min,the time of menses was （43.1±5.8） d in the observation group,which were all shorter than those of beginning uterine contraction （1627.8±201.5） min,the continuous time of colporrhagia （18.2±4.1） d,the time of menses （49.4±7.1） d in the observation group （P〈0.05）.Concluslon The method of UAE for placenta previa induced la- bor can decrease the bleeding volume during operation and after operation,shorten the time of recovery after surgery, which can be selected as the effective method for placenta previa induced labor.