摘要
目的:探讨高危刮宫术前辅助双侧子宫动脉栓塞治疗的临床应用价值。方法:对25例患者给予高危刮宫术前辅助双侧子宫动脉栓塞(UAE)治疗,分析UAE术中出血量、术后刮宫出血量及UAE相关并发症。结果:术中出血约5 mL;术后首次常规刮宫术,宫颈瘢痕妊娠平均出血(12±4)mL;妊娠组织残留、宫颈稽留流产50 m L,胎盘植入(80±15)mL,宫内膜重度增生800 mL。患者主要不良反应为栓塞后反应,发生率100%,下腹痛最为常见。结论:高危刮宫术前辅助UAE安全、有效、并发症少。
Objective:To explore the clinical application value of assisted bilateral uterine artery embolization treatment beforehigh-risk curettage.Methods:25 patients were given assisted bilateral uterine artery embolization(UAE) treatment before high-riskcurettage.The UAE intraoperative bleeding amount,postoperative curettage bleeding amount and UAE related complications wereanalyzed.Results:The intraoperative bleeding amount was about 5 mL.Postoperative routine curettage surgery for the first time,theaverage bleeding amount of cervical scar pregnancy was (12±4)mL;the pregnancy tissue residue and cervical missed abortionwere 50 mL;the placenta implantation was (80 ± 15)mL;the endometrial severe hyperplasia were 800 mL.The main adversereaction of patients was post embolization reaction,with the incidence rate of 100%,and the abdominal pain was the most common.Conclusion:Assisted UAE before high-risk curettage is safe and effective,and it has less complications.
作者
何绍飞
李颖
李云旭
查远志
刘志有
杨春梅
普媛媛
王飞
段爱梅
He Shaofei;Li Ying;Li Yunxu;Zha Yuanzhi;Liu Zhiyou;Yang Chunmei;Pu Yuanyuan;Wang Fei;Duan Aimei(Department of Radiology,Yunnan Honghe Mengz City People's Hospital 661199)
出处
《中国社区医师》
2016年第18期34-35,37,共3页
Chinese Community Doctors
关键词
高危险性
刮宫术
介入性
动脉
栓塞术
High-risk
Curettage
Intervention
Artery
Embolization