摘要
目的探讨三维计算机体层摄影血管成像(computerized tomography angiography,CTA)超选择胎盘植入的供血动脉栓塞治疗胎盘植入患者的治疗效果。方法收集并分析2010年2月至2013年12月就诊于南方医科大学附属花都医院围产医学中心70例胎盘植入患者的临床资料,35例患者应用三维CTA超选择胎盘植入的供血动脉栓塞为实验组,35患者例选择子宫动脉栓塞为对照组,对两组患者的术前一般情况、术中、术后及预后情况进行比较。结果实验组胎盘组织排出时间为(7.05±1.28)d、术后β-h CG为(5.35±0.67)U/L、术后出血量为(9.78±0.34)ml,对照组胎盘组织排出时间为(12.36±1.95)d、术后β-h CG为(6.97±0.99)U/L、术后出血量为(15.22±1.96)ml,两组患者各项临床检测指标比较,t值分别为4.102,4.009,4.135,P均<0.01,差异有统计学意义。实验组无患者发生宫腔感染,但对照组有3例。结论三维CTA辅助下行超选择胎盘植入的供血动脉治疗胎盘植入具有安全、微创、止血迅速、可保留子宫等优点,有较高的临床应用价值。
Objective To evaluate the clinical efficacy of three-dimensional computerized tomography angiography（CTA） super selective supplying artery embolization in treating placenta increta; The supplying artery is for placenta increta. Methods The clinical data of 70 placenta increta patients were collected in Huadu Hospital Affiliated to Southern Medical University from February 2010 to December 2013. The patients were divided into two groups： 35 patients with three-dimensional CTA super selective artery embolization were in the treatment group, 35 patients with uterine artery embolization were in the control group. The clinical condition about patients during preoperative, intraoperative, and postoperative and prognosis of two groups were compared. Results In the treatment group, the time of placental tissue discharge were （7.05 ±1.28） days, the level of [3-human ehorionic gonadotropin（β-hCG） was （5.35 ±0. 67 ） U/L, and the amount of postoperative bleeding was （ 9.78 ±0. 34 ） ml. In the control group, the data were （ 12. 36 ± 1.95） days, （6. 97 ± 0. 99 ） U/L, and （ 15.22 ±1.96） ml, respectively. There were significant differences in the two groups; t =4. 102, 4. 009, and 4. 135 （all P value 〈0. 01）. There was none patient had uterus cavity infection in control group, but there were 3 patients had uterus cavity infection in treatment group. Condusions The advantages of three-dimensional CTA super selective uterine artery embolization are safe, mini-invasive, stopping bleeding quickly, and reserving uterine for placenta increta patients. The therapeutic method has hizh clinical application value.
出处
《中华产科急救电子杂志》
2014年第4期48-51,共4页
Chinese Journal of Obstetric Emergency（Electronic Edition）
关键词
胎盘
侵入性
栓塞
治疗性
三维CTA
结果评价
Placenta accreta
Embolization, therapeutic
Three-dimensional CTA
Outcome assessment
