论文部分内容阅读
目的探讨采用联合子宫动脉灌注栓塞术和利凡诺引产术配伍米非司酮在中央性前置胎盘中晚期妊娠引产患者中的安全性和临床疗效。方法 31例中央性前置胎盘中晚期妊娠引产患者采用利凡诺引产术后选择性子宫动脉灌注栓塞术同时灌注甲氨蝶呤,同时配伍米非司酮治疗,观察引产效果、阴道出血及预后情况,记录不良反应。结果 31例患者均引产成功,无一例患者子宫切除、剖宫取胎、子宫动脉临近血管栓塞,术后排出胎儿及附属物时间为102.91 h;产后出血1例,产时出血平均158.15 ml;监测血绒毛膜促性腺激素(HCG)(流)产后2周至正常;产后1~6 d B超下刮宫,平均38 d恢复月经。结论联合子宫动脉灌注栓塞术和利凡诺引产术配伍米非司酮在中央性前置胎盘中晚期妊娠引产安全有效。
Objective To investigate the safety and clinical efficacy of combined uterine arterial infusion embolization and rivanol induction with compatibility of mifepristone in induction of labor in the middle and late stage of placenta previa. Methods 31 cases of central placenta previa in late pregnancy induced abortion patients with selective Rivinol induction of postoperative selective uterine artery embolization and methotrexate infusion at the same time with mifepristone treatment observed induction of labor, vaginal bleeding and prognosis Situation, record adverse reactions. Results All the 31 patients were successful abortion. None of the patients underwent hysterectomy, cesarean section and uterine artery embolization. The time of discharging fetuses and appendages was 102.91 h, 1 postpartum hemorrhage and 158.15 ml intrapartum hemorrhage. Blood chorionic gonadotropin (HCG) (flow) 2 weeks postpartum to normal; 1 to 6 days postpartum B super curettage curettage, an average of 38 days to resume menstruation. Conclusions Combination of uterine arterial infusion embolization and rivanol induction of labor with mifepristone is safe and effective in inducing labor in the middle and late stage of placenta previa.