Objective To investigate the clinical effect of cesarean section combined with uterine artery embolization on treatment of complete placenta previa complicated with placenta implantation. Methods During January 2010 to December 2014, 80 cases of complete placenta previa complicated with placenta implantation, who were admitted in Maternal and Child Health Hospital of Zhoushan City, were divided into control group and observation group with 40 patients in each group according to treatment. The control group was treated with traditional cesarean section, and the observation group was treated with cesarean section combined with uterine artery embolization. Postpartum hemorrhage amount, clinical indicators and neonatal outcomes were compared between two groups. Results Postpartum hemorrhage amount of the observation group was significantly less than the control group (620 ± 120mL vs 2 920 ± 730mL) ( t=19. 663, P<0. 01). The uterus excision rate and intensive care unit (ICU) transferring rate of the observation group were significantly lower than the control group (32. 5%, 22. 5%) (χ2 value was 15. 225 and 10. 141, respectively, both P<0. 05). The neonatal intensive care unit (NICU) transferring rate of the observation group (5. 0%) was significantly lower than the control group (35. 0%) (t=11. 251,P<0. 05). Conclusion Cesarean section combined with uterine artery embolization can significantly reduce bleeding amount of the patients with complete placenta previa complicated with placenta implantation and reduce the risk of hysterectomy, so it is worthy of clinical popularization and application.%目的：探讨剖宫产联合子宫动脉栓塞术治疗完全性前置胎盘合并胎盘植入的临床疗效。方法选取2010年1月至2014年12月期间舟山市妇幼保健院收治的80例完全性前置胎盘合并胎盘植入患者,根据治疗方法将其分成对照组和观察组,每组各40例,其中给予对照组患者传统剖宫产术终止妊娠,对观察组应用传统剖宫产术联合子宫动脉栓塞术终止妊娠,比较两组患者的产后出血量、临床相关指标以及新生儿结局。结果观察组患者的产后出血量为620±120mL,明显低于对照组患者的2920±730mL,t=19.663,P<0.01；对照组患者的子宫切除率(32.5%)及重症监护室转入率(22.5%)明显高于观察组,χ2值分别为15.225和10.141,均P<0.05；观察组新生儿重症监护室转入率(5.0%)明显低于对照组(35.0%),t=11.251,P<0.05。结论剖宫产联合子宫动脉栓塞术能够显著降低完全性前置胎盘合并胎盘植入产妇的出血量,减少子宫切除风险,值得临床推广应用。
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