子宫动脉栓塞术治疗凶险性前置胎盘伴胎盘植入的临床效果

Clinical effect of uterine artery embolization in the treatment of dangerous placenta previa with placenta accrete andimplantation

目的探讨子宫动脉栓塞术治疗凶险性前置胎盘伴胎盘植入的临床效果。方法选取华容县人民医院2015年4月—2017年5月收治的凶险性前置胎盘伴胎盘植入患者60例,随机分为对照组与观察组,每组30例。对照组患者采用常规治疗,观察组患者采用子宫动脉栓塞术治疗。比较两组患者术中出血量、产后下床时间、住院时间及产后出血、子宫切除、产褥感染情况。结果观察组患者术中出血量少于对照组,产后下床时间及住院时间短于对照组(P<0.05)。观察组患者产后出血发生率、子宫切除率及产褥感染发生率低于对照组(P<0.05)。结论子宫动脉栓塞术治疗凶险性前置胎盘伴胎盘植入的临床效果确切,其可有效降低患者术中出血量,缩短治疗时间,且安全性较高。

Objective To explore the clinical effect of uterine artery embolization in the treatment of dangerous placenta previa with placenta accrete implantation.Methods A total of 60 cases of dangerous placenta previa with placenta accrete implantation patients were selected from April 2015 to May 2017 in Huarong County People＇s Hospital,which were randomly divided into control group and observation group,30 cases in each group.The control group was given routine treatment,observation group was given uterine artery embolization.The intraoperative blood volume,out of bed time,hospitalization time and the incidence of postpartum hemorrhage,hysterectomy and puerperal infection were compared between the two groups.Results The observation group of intraoperative blood volume was less than control group,out of bed time and hospitalization time were shorter than control group（P〈0.05）.The incidence rate of postpartum hemorrhage,hysterectomy and puerperal infection in observation group were lower than control group（P〈0.05）.Conclusion Uterine artery embolization has an exactly clinical effect in the treatment of dangerous placenta previa with placenta accrete implantation,it can effectively reduce intraoperative blood volume of patients,shorten treatment time,and with higher safety.