子宫动脉栓塞术用于胎盘植入性疾病

Progresses of uterine artery embolization for placenta accreta spectrum disorders

胎盘植入性疾病(PAS)属于产科危急重症,可致围产期难治性大出血、失血性休克、弥漫性血管内凝血,剖宫产手术出血量、输血量、子宫切除率及死亡率均较高。子宫动脉栓塞术(UAE)用于治疗PAS可有效栓塞子宫动脉主干及其分支,减少手术出血量及输血量,降低子宫切除率。本文对UAE用于PAS进展进行综述。

Placenta accreta spectrum disorders(PAS)is a severe obstetric emergency which may cause refractory massive hemorrhage,hemorrhagic shock and disseminated intravascular coagulation in the perinatal period,and the amount of blood loss,blood transfusion,hysterectomy rate and mortality in cesarean section are high.Uterine artery embolization(UAE)can be used to effectively embolize the main uterine artery and its branches,reduce the amount of blood loss,blood transfusion and the hysterectomy rate.The progresses of UAE applicated in PAS were reviewed in this article.