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目的:探讨子宫动脉栓塞术在胎盘前置状态中期妊娠引产中的应用。方法:选择2014年1月~2016年1月我院收治的孕14~24周胎盘前置状态需要终止妊娠患者32例,随机分为两组,其中15例先行子宫动脉栓塞术,3小时后给予利凡诺100 mg羊膜腔内注射引产术,联合口服米非司酮150 mg(A组),17例行常规剖宫取胎术(B组),比较两组的出血量及住院时间。结果:A组产后平均出血量为284.53±33.74 m L,平均住院时间为3.8±0.7天;B组平均产后出血量为546.07±40.69 m L,平均住院时间为6.4±0.3天,差异均有统计学意义(P<0.05)。结论:子宫动脉栓塞术可用于胎盘前置状态的中孕引产,而且具有出血少、创伤小、可保护女性生殖生理功能的优点,值得临床推广。
Objective: To investigate the application of uterine artery embolization in the induction of labor in the middle stage of placenta previa. Methods: From January 2014 to January 2016, 32 cases of preeclamptic placenta of 14-24 weeks pregnant women admitted to our hospital from January 2014 to January 2016 were randomly divided into two groups, of which 15 cases were treated with uterine arterial embolization three hours later Ribavirin 100 mg was injected into the amniotic cavity for induction of labor, combined with 150 mg of mifepristone (group A) and 17 cases of conventional cesarean section (group B). The bleeding and length of hospital stay were compared between the two groups. Results: The average amount of postpartum hemorrhage in group A was 284.53 ± 33.74 m L and the average hospitalization time was 3.8 ± 0.7 days. In group B, the average postpartum hemorrhage was 546.07 ± 40.69 m L and the average length of hospital stay was 6.4 ± 0.3 days Significance (P <0.05). Conclusions: Uterine artery embolization can be used in the pre-placental induction of labor during pregnancy, and has the advantages of less bleeding, less trauma and protection of female reproductive physiology. It is worthy of clinical promotion.