双侧子宫动脉栓塞治疗妇产科疾病疗效分析.docVIP

双侧子宫动脉栓塞治疗妇产科疾病疗效分析 　　【摘要】目的：研究双侧子宫动脉栓塞治疗妇产科疾病的疗效。方法：对68例产后大出血、子宫疤痕妊娠、稽留流产清宫伴有急性大出血、子宫肌瘤（18例）、子宫腺肌瘤、中孕胎盘完全性前置状态、中孕引产胎盘植入及宫颈癌术前化疗的患者分别行双侧子宫动脉栓塞治疗或灌注化疗。结果：产后大出血及稽留流产清宫伴急性大出血者，均在栓塞术后出血立即停止或明显减少；子宫肌瘤者经栓塞治疗，肌瘤坏死、排出组织物、完整剥除；子宫疤痕妊娠和中孕胎盘完全性前置状态流（引）产前行双侧子宫动脉栓塞，药流（引产）及清宫时阴道流血少；中孕引产胎盘植入行双侧子宫动脉栓塞+MTX+米非司酮+钳刮时，阴道流血少；宫颈癌患者采取新辅助化疗，近期有效率达958%。结论：双侧子宫动脉栓塞有效治疗妇产科疾病，疗效显著，且创伤小、安全、简便，有推广价值。 　　【关键词】双侧子宫动脉栓塞； 妇产科疾病； 动脉灌注； 化疗 　　【Abstract】Objectives： To evaluate the curative effect of bilateral uterine arterial embolization （UAE） in the treatment of obstetrical and gynecological diseases. Methods： UAE or infusion chemotherapy was performed in 68 patients with postpartum hemorrhage， scar gestation， brachychronic bleeding during curettage of missed abortion， hysteromyoma （18）， adenomyoma， complete placenta previa of second trimester， placenter accrete in second trimester and patients with cervical carcinoma who recieved radical hysterectomy. Results： After operation， hemorrhage was stopped or reduced immediately in patients with postpartum hemorrhage or profuse hemorrhage during curettage of missed abortion； uterine leiomyoma was necrotic discharged and entirely excavated after operation； vaginal bleeding was reduced when patients with scar gestation and complete placenta previa of second trimester received medical abortion and curettage； vaginal bleeding was reduced when patient with placenta accrete in the second trimesters received forceps curettage； the recent effective rate of neoadjunant chemotherapy in the treatment of cervical carcinoma was 95.8%. Conclusion： UAE is a safe and effective treatment method for gynecological and obstetrical diseases. 　　【Key words】Bilateral uterine artery embolization； Obstetrical and gynecological disease； Arterial perfusion； Chemotherapy 　　【中图分类号】R167【文献标志码】A 　　当今科技日益发展，放射介入技术也在迅速发展，在妇产科疾病治疗领域中血管介入技术也越来越被广泛应用，发挥着应有的作用。该技术的优点为简便安全、快速有效、创伤小，且疗效显著。我院自2011年2月至2014年4月间共采用双侧子宫动脉栓塞治疗妇科及产科疾病共 68例，并取得较满意的治疗效果，现回顾如下。 　　1资料与方法 　　11临床资料 　　2011年2月至2014年4月本院