Li Lan,Yang Ying.Clinical analysis of bilateral uterine artery embolization for placenta accreta[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(10):1098-1101.
Li Lan,Yang Ying.Clinical analysis of bilateral uterine artery embolization for placenta accreta[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(10):1098-1101.DOI:
Clinical analysis of bilateral uterine artery embolization for placenta accreta
complications and curative effects of uterine artery embolization (UAE) on patients with placenta accrete. Methods We reviewed and analyzed the clinical outcome
effective rate (such as bleeding reduction or stop
menses return and re-pregnancy)
and ineffective rate (such as additional embolization treatment
hysterectomy
and maternal death) of embolization treatment in the 80 late pregnancy cases from 110 placenta accreta cases (including 40 cases in UAE group
9 cases in hysterectomy group
12 cases in conservative t
reatment group
and 19 finally eliminated cases) hospitalized in Xinqiao hospital from January 2006 to December 2012. Results There was no statistical significance of age
gestational weeks
times of pregnancy among the 3 groups (
P
0.05). After UAE
bleeding in 38 cases were successfully arrested
but 2 cases failed. There were common complications such as fever and abdominal pain
but no organ ischemia or nerve damage. The differences of blood loss and blood transfusion
operation time
and hospitalization time among the three groups had statistical significance (
P
0.05). One year follow-up was performed for the patients in the UAE group. Except for 9 lost patients during follow-up
31 patients resumed normal menstruation and 2 of them were pregnant again. Conclusion UAE has the advantages of short time of pre-operative preparation and operation
rapid bleeding control and reduced complications
and avoid hysterectomy to improve life quality in these patients.