三维CTA超选择性动脉栓塞治疗植入性胎盘的临床疗效分析.docVIP

三维CTA超选择性动脉栓塞治疗植入性胎盘的临床疗效分析 　　【摘要】 目的：探讨三维CTA超选择性动脉栓塞治疗植入性胎盘的临床疗效，并对其分析。方法：60例胎盘植入患者随机分为试验组和对照组。试验组在三维CTA辅助下行超选择植入性胎盘的供血动脉（子宫动脉卵巢支或者输卵管支）造影+栓塞，对照组行传统的子宫动脉造影+栓塞，栓塞的均不是既往的子宫动脉。检测两组出血、血压、胎盘组织排出、子宫复旧和血绒毛膜促性腺激素β亚单位（β-hCG）水平的差异。结果：试验组的各项临床检测指标与对照组相比较，差异有统计学意义（P0.01）。结论：三维CTA辅助下行超选择植入性胎盘的供血动脉（子宫动脉卵巢支或者输卵管支）造影+栓塞具有安全、微创、止血迅速、可保留子宫等优点，有较高的临床应用价值。 　　【关键词】 三维CTA； 超选择性； 动脉栓塞； 植入性胎盘 　　中图分类号 R714.46 文献标识码 A 文章编号 1674-6805（2014）24-0005-04 　　The Clinical Curative Effect of 3D CTA Super Selective Arterial Embolization in the Treatment of Implanted Placenta/QIN Yi-wei，ZHANG Xiao-li.//Chinese and Foreign Medical Research，2014，12（24）：5-8 　　【Abstract】 Objective：To study clinical curative effect of the 3D CTA super selective arterial embolization in the treatment of implanted placenta，and analyse it.Method：60 cases of implanted placenta were randomly divided into the experimental group and control group.The experimental group in the 3D CTA auxiliary downward choosed implanting placental blood supply artery（uterine artery ovarian or tubal branch） to angiography plus embolization，the control group was treated with traditional uterus arteriography plus embolization.Uterine artery embolization was not before.To detect bleeding，blood pressure，placental tissue eduction，uterine instauration and blood chorionic gonadotropin beta subunits（beta hCG） level difference in two groups.Result：The clinical detection indicators of the experimental group compared with control group，there were statistical significance（P0.01）.Conclusion：3D CTA auxiliary downward choose implanting placental blood supply artery（uterine artery ovarian or tubal branch） angiography plus embolization is safe，minimally invasive，stops bleeding quickly，can retain the advantages of the uterus，have high clinical application value. 　　【Key words】 3D CTA； Super selective； Artery embolization； Implanted placenta 　　First-author’s address：Huadu Hospital Affiliated to Southern Medical University，Guangzhou 510800，China 　　CTA（comput