预防性子宫动脉栓塞术在前置胎盘孕妇妊娠中晚期引产中的效果观察

Effect of Prophylactic Uterine Artery Embolization in the Induction of Labor in the Middle and Late Pregnancy of Placenta Previa Pregnant Women

目的:观察预防性子宫动脉栓塞术在前置胎盘孕妇妊娠中晚期引产中的临床效果。方法:纳入笔者所在医院2018年2月-2019年10月治疗的妊娠中晚期前置胎盘引产68例孕妇,采用随机数字表法将其分为观察组和对照组,各34例。对照组采用常规引产,观察组行预防性子宫动脉栓塞术后引产,比较两组引产中出血量、产后24 h出血量、总产程、住院时间、恶露持续时间、月经恢复时间及并发症发生情况。结果:观察组引产中出血量及产后24 h出血量均显著少于对照组,差异有统计学意义(P<0.05)。观察组总产程(350.36±32.18)min、住院时间(5.48±1.21)d、恶露持续时间(12.33±3.20)d、月经恢复时间(34.37±3.95)d,均显著优于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为5.88%,低于对照组的23.53%,差异有统计学意义(P<0.05)。结论:前置胎盘孕妇妊娠中晚期引产前行预防性子宫动脉栓塞术,可明显降低引产中及产后出血量及并发症发生率。

Objective:To observe the clinical effect of prophylactic uterine artery embolization in the induction of labor in the middle and late pregnancy of placenta previa pregnant women.Method:A total of 68 pregnant women in middle and late pregnancy of placenta previa who were treated in our hospital from February 2018 to October 2019 were included.They were divided into the observation group and the control group by random number table method,34 cases in each group.The control group received routine induction of labor.The observation group received induction of labor after prophylactic uterine artery embolization.The amount of bleeding during labor induction,postpartum amount of bleeding at 24 h,total labor process,hospitalization time,duration of lochia,menstrual recovery time and complications were compared between the two groups.Result:The amount of bleeding during labor induction and postpartum amount of bleeding at 24 h in the observation group were significantly less than those in the control group,the differences were statistically significant(P<0.05).The total labor process(350.36±32.18)min,hospitalization time(5.48±1.21)d,duration of lochia(12.33±3.20)d and menstrual recovery time(34.37±3.95)d in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.88%,which was lower than 23.53%in the control group,the difference was statistically significant(P<0.05).Conclusion:Prophylactic uterine artery embolization before induction of labor in the middle and late pregnancy of placenta previa pregnant women can significantly reduce the amount of bleeding during labor induction and postpartum and the incidence of complications.