Ji W, Wang W, Sun S, Wu J, Xu W, Tao D, Xu C, Fu X, Chen Y, Yang S
Vascular Interventional Center, Taizhou Hospital of Zhejiang Province , Taizhou, Zhejiang Province , China.
J Obstet Gynaecol. 2014 Oct;34(7):585-7. doi: 10.3109/01443615.2014.919999. Epub 2014 Jun 9.
The aim of this study was to investigate the efficiency of uterine artery embolisation (UAE) for postpartum haemorrhage (PPH) related to placenta praevia. A total of 45 women with placenta praevia or placenta praevia state underwent UAE before inducing labour. The locations of uterine artery and placenta were determined through selective and super-selective catheterisation into the internal iliac artery and uterine artery digital subtraction angiography (DSA). The target arteries were then super-selectively catheterised and embolised using small pieces of gelatin sponge. The above processes were repeated until the darkly stained areas of placenta were no longer developing. The success rate of UAE was 100%. There was no longer haemorrhage after embolisation for all the cases of labour induction and the average volume of blood loss was 56 ml. UAE is an effective, reliable and minimally traumatic treatment method for preventing postpartum haemorrhage after induction of labour in patients with placenta praevia state.
本研究旨在探讨子宫动脉栓塞术（UAE）治疗前置胎盘相关产后出血（PPH）的疗效。共有45例前置胎盘或前置胎盘状态的孕妇在引产前行UAE。通过选择性和超选择性插管至髂内动脉及子宫动脉数字减影血管造影（DSA）确定子宫动脉及胎盘的位置。然后将目标动脉超选择性插管，并用小块明胶海绵进行栓塞。重复上述过程，直至胎盘染色较深的区域不再发展。UAE成功率为100%。所有引产病例栓塞后均无再出血，平均失血量为56 ml。UAE是预防前置胎盘状态患者引产术后产后出血的一种有效、可靠且微创的治疗方法。
