摘要
目的 探讨子宫动脉栓治疗胎盘植入出血的临床疗效.方法 本院2011年7月～2012年8月采用子宫动脉栓塞手段治疗胎盘植入出血患者30例,观察其临床效果.结果 30例患者手术时间平均为（40.5±4.5）min,平均止血时间为（10.2±3.0）min,术后8 h左右凝血功能好转,凝血酶原及纤维蛋白原2 d内恢复到正常水平,血小板计数在（4.8±1.2）d后恢复.30例患者均在栓塞成功后8 d左右顺利完成了清宫术,彻底清除了植入的胎盘组织,术后未发生大出血及子宫穿孔等症状.B超复查未发现宫腔回声异常现象,后均痊愈出院.未出现宫腔感染等较为严重的并发症现象.结论 子宫动脉栓治疗胎盘植入出血的临床疗效显著,能有效控制产后出血症状,是一种较为安全有效的辅助治疗方法,值得临床应用.
Objective To investigate the clinical efficacy of uterine artery of treating bleeding placenta increta. Methods From July 2011 - August 2012 by means of uterine artery embolization treatment of hemor- rhage in patients with placenta increta treated 30 cases, observe its clinical effect. Results Operation for an average of 30 patients （40. 5 ＋ 4. 5 ） minutes, the average bleeding time was （ 10. 2 - 3.0） minutes, about eight hours after coagulation function better, prothrombin and fibrinogen 2 days to return to normal levels, plate- let count in （4. 8 - 1.2） d after recovery. 30 cases of patients were in 8 days after successful embolization suc- cessfully completed the qing dynasty palace, thoroughly remove the implanted placenta tissue, no postoperative bleeding and perforation of the uterus. Ultrasound echoes review found no uterine anomalies, recovered after treatment. Does not appear serious complications phenomenon caused by intrauterine infection. Conclusion The clinical efficacy of uterine artery of treating bleeding placenta increta significantly, can effectively control postpartum hemorrhage symptom, is a relatively safe and effective adjuvant treatment method, worthy of clinical application.
出处
《中国现代药物应用》
2013年第20期10-11,共2页
Chinese Journal of Modern Drug Application
关键词
子宫动脉栓
胎盘植入出血
疗效
Uterine artery bolt
Placenta implantation bleeding
Curative effect
