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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 investigate the clinical value of adjuvant bilateral uterine artery embolization before high-risk curettage. Methods: Twenty - five patients underwent high - risk curettage assisted preoperative bilateral uterine arterial embolization (UAE). UAE intraoperative bleeding, postoperative curettage bleeding and UAE related complications were analyzed. Results: The intraoperative blood loss was about 5 mL. For the first time after operation, the average curettage and cervical scar pregnancy were (12 ± 4) mL. The remaining pregnancy, residual cervical abortion 50 m L, placenta accreta 80 ± 15 mL, Intimal hyperplasia 800 mL. The main adverse reaction in patients with embolic reaction, the incidence of 100%, the most common abdominal pain. Conclusion: The high-risk curettage auxiliary UAE before surgery is safe, effective and less complications.