子宫动脉介入栓塞治疗在瘢痕子宫中期妊娠中的应用.docVIP

精品论文 参考文献 子宫动脉介入栓塞治疗在瘢痕子宫中期妊娠中的应用 夏智勇1范波1潘蕾2 　　（1川北医学院附属医院妇产科四川南充637000） 　　作者简介：夏智勇（1972624-），男，汉族，出生于四川省广安市广安区，中级，硕士研究生，现川北医学院附属医院妇产科（四川南充顺庆区），主要从事妇产科介入治疗。 　　通讯作者:南充东方医院妇产科, 四川, 南充, 637000【摘要】目的：探讨选择性子宫动脉栓塞治疗在瘢痕子宫中期妊娠引产中的可行性、有效性及安全性。方法：对13例瘢痕子宫中期妊娠、要求终止妊娠患者行双侧子宫动脉超选择性插管，用明胶海绵栓塞双侧子宫动脉，术后6小时内行羊膜腔穿刺注入依沙吖啶100mg引产。结果：13例均介入手术成功，羊膜腔穿刺术后15～70小时胎儿娩出，平均时间为33小时，胎儿娩出后2小时内阴道出血120ml~240ml，平均180ml，总产程进展顺利，无一例出现强直宫缩，无子宫破裂发生，无产后出血；13例均一周后在B超监测下行清宫术，术后2天出院，产后一月复查B超均提示子宫恢复良好。结论：选择性子宫动脉介入栓塞在瘢痕子宫中期妊娠引产中的应用是可行的、安全的、有效的，它保留生育功能，值得临床推广。 　　【关键词】瘢痕子宫;中期妊娠;介入治疗Application in the treatment of uterine scar pregnancy in uterine artery embolization 　　Xia ZhiyongFan BoPan Lei(Obstetrics and Gynecology of Affiliated Hospital of Chuanbei Medical College,Sichuan,Nanchong,637000) 　　【Abstract】Objective To investigate the feasibility,clinical efficacy and safty of interventional treatment by uterin artery embolism in the induction of labor in the second trimester for the scarred uterus. Methods Thirteen patients asking for termination of second trimester pregnancy with uterine incision received interventional treatment.Did ultra-selective intubatton by bilateral uterine artery,then did embolization uterine artery by qultin sponqe particles,administered routine induced labor through amniotic injection of ethacridine 100 mg after six hours of interventional treatment. Results Thirteen patients underwent uterine artery embolization all succeed. The time of labor after the procedure was 15～70 hours,with an average time of thirty-four hours． The amount of bleeding within two hours of postpartum was 120～240 ml,with an average amount of 180 ml．The total stage of labor is smooth,no tetanic contraction of uterus,no rupture of uterus,no postpartum hemorrhage.The dilatation and curettage of thirteen patients was performed under-ultrasonic after a week of postpartum,leaving hospital after the dilatation and curettage.These uterus had a return to normality under-ultrasonic after a month of postpartum. Concl