子宫动脉栓塞术治疗中期妊娠中央性前置胎盘出血的可行性及疗效观察

The feasibility and curative effect observation of uterine artery embolization in treatment of secondtrimester central placenta previa bleeding

目的通过与传统中央性前置胎盘出血手术对比,观察分析子宫动脉栓塞术治疗中期妊娠中央性前置胎盘出血的可行性及疗效。方法将本院2010年1月至2013年12月产科就诊的中期妊娠中央性前置胎盘出血的60例患者按手术方式的不同分为两组,试验组患者行子宫动脉栓塞术,对照组行传统手术,观察两组手术疗效,分析手术可行性。结果两组患者估计术前出血量、住院时间、月经复潮时间无显著差异。试验组患者手术时间和估计术中出血量明显少于对照组,差异具有显著性(P<0.05)。对照组患者软产道损伤发生率高于试验组,差异具有显著性(P<0.05)。结论子宫动脉栓塞术治疗中期妊娠中央性前置胎盘出血效果良好,可行性高,且较传统手术可减少患者出血量及术中软产道损伤,值得临床推广。

Objective To observe and analyze of the feasibility and efficacy of uterine artery embolization for the treatment of mid-pregnancy central placenta previa bleeding. Method Chose 60 cases of maternal with mid-pregnancy central placenta previa bleeding from January 2010 to December 2013 in our hospital, which were divided into two groups according to different surgical approach, the experimental group were given uterine artery embolization and the control group were given conventional surgical approach, to observe the efficacy and to analyze of surgical feasibility. Result There was no significant difference in operative time, estimating of preoperative bleeding, hospitalization time, menstruation time. The experimental group of blood loss was significantly less than that the control group, it had statistical significance （P 〈 0.05）. Occurrence of the soft birth canal injury complication rate was greater than the experimental group control group, it had statistical significance （P 〈 0.05）. Conclusion Uterine artery embolization for the treatment of mid-pregnancy central placenta previa bleeding which have better efficacy, there is no difference which compared to the traditional surgery, and it has high feasibility. It can reduce the amount of bleeding which compared to the traditional surgery, and can reduce birth canal injury, worthy of promotion.