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目的:探讨子宫动脉栓塞术治疗胎盘植入的临床疗效。方法:收集彩超提示胎盘植入范围较大,且胎盘部位存在丰富血流信号的8例患者,采用Seldinger技术行氨甲蝶呤灌注、明胶海绵栓塞双侧子宫动脉,栓塞术后第2~4天在B超指引下行清宫术,观察治疗效果及预后情况,并记录分析不良反应。结果:8例患者手术均成功,成功清除宫内胎盘组织,术中出血少,血β-HCG下降快,栓塞后均无阴道出血,术后随访3个月月经均恢复正常,无明显并发症发生。结论:经子宫动脉途径介入治疗植入性胎盘安全有效,疗效较显著、不良反应小、成功率高,是行之有效的治疗方法。
Objective: To investigate the clinical efficacy of uterine artery embolization in the treatment of placenta accreta. Methods: Eight patients with large placenta astigmatism and abundant blood flow signal in the placenta were collected by color Doppler. Peripheral blood mononuclear cells were embolized with Seldinger technique, bilateral uterine artery embolized with gelatin sponge, Days in the B-guided radical curettage, observation of the treatment effect and prognosis, and record the analysis of adverse reactions. Results: All the 8 patients were successful in surgery. The intrauterine placental tissue was successfully removed. There was less bleeding and blood β-HCG in the 8 patients. No vaginal bleeding occurred after the embolization. The menstrual cycles returned to normal after 3 months of follow-up. There was no obvious complication occur. Conclusion: The uterine artery interventional treatment of placenta accreta is safe and effective, the curative effect is more obvious, the adverse reaction is small and the success rate is high. It is an effective treatment method.