[1]高梦涵,胡 勇.中止妊娠前子宫动脉栓塞术预防宫内大出血应用价值[J].介入放射学杂志,2016,(05):443-447.
 GAO Meng- han,HU Yong.The clinical application of uterine artery embolization before termination of pregnancy in preventing intrauterine hemorrhage[J].journal interventional radiology,2016,(05):443-447.
点击复制

中止妊娠前子宫动脉栓塞术预防宫内大出血应用价值 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年05期
页码:
443-447
栏目:
临床研究
出版日期:
2016-05-25

文章信息/Info

Title:
The clinical application of uterine artery embolization before termination of pregnancy in preventing intrauterine hemorrhage
作者:
高梦涵 胡 勇
Author(s):
GAO Meng- han HU Yong
Department of Interventional Radiology, Affiliated Yongchuan Hospital, Chongqing Medical University, Chongqing 402160, China
关键词:
【关键词】 子宫动脉栓塞 预防 出血 切口妊娠 前置胎盘 胎盘植入 中止妊娠
文献标志码:
A
摘要:
【摘要】 目的 探讨中止妊娠前子宫动脉栓塞术(UAE)预防宫内大出血的应用价值,评估UAE术对患者再孕有无影响。方法 回顾性分析2011年1月至2015年7月采用UAE术预防宫内大出血患者82例临床资料,观察术后引产和清宫临床效果,追踪患者性激素水平,月经和再孕情况。结果 82例患者中止妊娠前接受UAE术,预防子宫大出血有效率为93.91%(77/82),保宫率为98.78%(81/82);术后75例获随访3个月,71例月经恢复正常,9例再孕,无一例出现严重并发症或后遗症。结论 中止妊娠前UAE术能有效预防宫内大出血并保留子宫,方法安全有效,临床应用价值高。

参考文献/References:

[1] 黄加胜, 张慕玲, 束晓明, 等. 预防性子宫动脉栓塞在产科疾病中的应用[J]. 介入放射学杂志, 2013, 22: 980- 982.
[2] 周东海. 子宫动脉栓塞术预防和治疗子宫大出血的临床效果[J]. 中国医学影像学杂志, 2011, 19: 241- 243.
[3] 宋 莉, 佟小强, 王 健, 等. 超选择子宫动脉栓塞控制及预防产科出血[J]. 介入放射学杂志, 2008, 17: 706- 708.
[4] Seow KM, Huang LW, Lin YH, et al. Cesarean scar pregnancy: issues in management[J]. Ultrasound Obstet Gynecol, 2004, 23: 247- 253.
[5] Chao A, Wang TH, Wang CJ, et al. Hysteroscopic management of cesarean scar pregnancy after unsuccessful methotrexate treatment[J]. J Minim Invasive Gynecol, 2005, 12: 374- 376.
[6] 王振辉, 李晨辉. 凶险型前置胎盘27例临床分析[J]. 实用妇产科杂志, 2013, 29: 77- 79.
[7] 中华医学会妇产科学分会产科学组. 2013前置胎盘的临床诊断与处理指南[J]. 中华妇产科杂志, 2013, 48: 148- 150.
[8] Khan M, Sachdeva P, Arora R, et al. Conservative management of morbidly adherant placenta: a case report and review of literature[J]. Placenta, 2013, 34: 963- 966.
[9] Machado LS. Emergency peripartum hysterectomy: incidence, indications, risk factors and outcome[J]. N Am J Med Sci, 2011, 3: 358- 361.
[10] 乐 杰. 妇产科学[M]. 5版. 北京: 人民卫生出版社, 2000: 434.
[11] Xiangying H, Lili H, Yifu S. The effect of hysterectomy on ovarian blood supply and endocrine function[J]. Climacteric, 2006, 9: 283- 289.
[12] Abada HT, Golzarian J. Gelatine sponge particles: handling characteristics for endovascular use[J]. Tech Vasc Interv Radiol, 2007, 10: 257- 260.
[13] Poujade O, Ceccaldi PF, Davitian C et al. Uterine necrosis following pelvic arterial embolization for post- partum hemorrhage: review of the literature[J]. Eur J Obstet Gynecol Reprod Biol, 2013, 170: 309- 314.
[14] Glomset O, Hellesnes J, Heimland N, et al. Assessment of organ radiation dose associated with uterine artery embolization[J]. Acta Radiol, 2006, 47: 179- 185.
[15] Pron G, Mocarski E, Bennett J, et al. Pregnancy after uterine artery embolization for leiomyomata: the Ontario multicenter trial[J]. Obstet Gynecol, 2005, 105: 67- 76.
[16] Li Q, Yang ZQ, Mohammed W, et al. Prophylactic uterine artery embolization assisted cesarean section for the prevention of intra- partum hemorrhage in high- risk patients[J]. Cardiovasc Intervent Radiol, 2014, 37: 1458- 1463.

相似文献/References:

[1]陈岳声.肝动脉栓塞与化栓的并发症:治疗和预防[J].介入放射学杂志,1994,(03):175.
[2]张培蕾,鲁海涛,朱悦奇,等.丁苯酞对大鼠局灶性脑缺血再灌注损伤的保护作用[J].介入放射学杂志,2012,(03):239.
 ,,et al.The protective effect of dl3nbutylphthalide on local cerebral ischemiareperfusion injury in experimental rats [J].journal interventional radiology,2012,(05):239.
[3]谭中宝,狄镇海.对比剂肾病的预防——介入治疗围手术期处理[J].介入放射学杂志,2012,(03):261.
 .Perioperative prevention of contrast induced nephropathy in patients undergoing interventional procedures [J].journal interventional radiology,2012,(05):261.
[4]鲁海涛,王 珏,张培蕾,等.介入手术抗菌药物应用的回顾性调查[J].介入放射学杂志,2013,(02):141.
 LU Hai? tao,WANG Jue,ZHANG Pei? lei,et al.Reasonable and preventive use of the antibiotics after interventional procedure: a retrospective investigation[J].journal interventional radiology,2013,(05):141.
[5]倪才方,狄镇海,程永德. 介入放射科抗菌药物使用指南(草案)[J].介入放射学杂志,2013,(05):353.
 NI Cai- fang,DI Zhen-hai,CHENG Yong-de.. Guidelines for antibiotic prophylaxis in interventional radiology practice (draft text)[J].journal interventional radiology,2013,(05):353.
[6]丁以锟,吕维富,周春泽,等. 术后预防性肝动脉化疗栓塞对肝癌患者生存的影响及预后相关因素分析[J].介入放射学杂志,2014,(04):299.
 DING Yi-kun,LV Wei-fu,ZHOU Chun-ze,et al. The influence of postoperative TACE on the survival time and prognosis in hepatocellular carcinoma patients after liver resection[J].journal interventional radiology,2014,(05):299.
[7]徐安辉,漆剑频,王 南.经皮腔内下肢血管成形术前预防性应用抗生素必要性研究 [J].介入放射学杂志,2015,(04):297.
 XU An hui,QI Jian pin,WANG Nan.Percutaneous transluminal angioplasty of lower extremity: Is preoperative use of prophylactic antibiotics necessary?[J].journal interventional radiology,2015,(05):297.
[8]刘炳光,曹满瑞,张玉霞,等.子宫动脉栓塞与化疗栓塞治疗瘢痕妊娠疗效比较[J].介入放射学杂志,2015,(07):588.
 LIU Bing-guang,CAO Man-rui,ZHANG Yu-xia,et al.Uterine artery embolization and uterine artery chemoembolization for the treatment of cesarean scar pregnancy: a comparative study[J].journal interventional radiology,2015,(05):588.
[9]梁晓东,王子亮,李天晓,等.替罗非班在颅内破裂动脉瘤介入治疗术中预防性应用研究[J].介入放射学杂志,2015,(12):1034.
 LIANG Xiao- dong,WANG Zi- liang,LI Tian- xiao,et al.The prophylactic application of tirofiban in interventional treatment for ruptured intracranial aneurysms: a clinical research[J].journal interventional radiology,2015,(05):1034.
[10]汤学超,白 元,张志钢,等.左心耳封堵器临床研究进展[J].介入放射学杂志,2017,(03):281.
 TANG Xuechao,BAI Yuan,ZHANG Zhigang,et al.Progress in clinical research of left atrial appendage occluder[J].journal interventional radiology,2017,(05):281.

备注/Memo

备注/Memo:
(收稿日期:2016-10-12)
(本文编辑:边 佶)
更新日期/Last Update: 2016-05-16