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目的:研究中期妊娠引产术前子宫动脉选择性栓塞的时间及栓塞范围的临床效果。方法:60例病例随机分为两组,一组栓塞方法为单纯子宫动脉主干栓塞,且栓塞时间为术前24-48小时,另一组为子宫动脉分支超选择性栓塞,且栓塞时间为引产术前24小时,对两组病例引产术中出血量进行对比观察。结果:经我们研究得出结论,良好的控制栓塞时间、栓塞的血管范围及剂量可明显的降低引产术中出血量,统计数据表明比单纯子宫动脉主干栓塞可减少40~50%,效果明显提高。结论:中期妊娠引产术前子宫动脉选择性栓塞的临床效果显著,方法简单,比单纯子宫动脉主干栓塞效果明显,术中出血量显著减少。
Objective: To study the clinical effect of selective embolization time and embolization range of uterine artery before induction of labor in mid-term pregnancy. Methods: Sixty cases were randomly divided into two groups. One of the embolization methods was simple embolization of the uterine artery, and the embolization time was 24-48 hours before surgery. The other group was superselective embolization of the uterine artery branch, and the embolism time was induced labor 24 hours before surgery, two sets of cases of induced abortion in patients with bleeding were compared. Results: Our study concluded that a good control of embolism time, embolization of blood vessels and dose can significantly reduce the amount of bleeding during induction of labor, statistics show that simple uterine artery embolization can be reduced by 40 to 50%, the effect was significantly improved . Conclusion: The clinical effect of selective embolization of uterine artery before induction of labor during the second trimester pregnancy is significant, the method is simple, and the effect is better than the embolization of the uterine artery. The blood loss in operation is significantly reduced.