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目的：探讨子宫动脉栓塞术用于中央性前置胎盘中晚期妊娠引产的可行性及疗效。方法南昌大学第一附属医院于2009年1月~2013年6月对18例中央性前置胎盘中晚期妊娠要求引产的患者行超选择性双侧子宫动脉栓塞术(A组)，观察并分析其分娩方式、阴道出血量及并发症，以同期25例中央性前置胎盘患者直接行剖宫取胎术作对照组(B组)。结果 A组18例行子宫动脉栓塞术患者中，15例经阴道分娩，其中有1例合并严重宫腔感染，1例因胎盘植入改行全子宫切除术，另3例因阴道流血多转行剖宫取胎术；B组25例直接行剖宫取胎术者，平均出血780ml，有5例行全子宫切除术，显著高于A组。结论子宫动脉栓塞术用于中央性前置胎盘中晚期妊娠引产安全、有效、微创，但应谨慎选择孕周、结合B超或MRI排除胎盘植入可能。“,”Objective To evaluate the ef icacy and safety of uterine arterial embolization in induced labor for pregnant women with complete placenta praevia. Methods A total of 18 pregnant women in their mid-or third-trimester with placenta praevia requiring termination of pregnancy in our department between January 2009 and June 2013 underwent the uterine bi-artery embolization(Group A).A total of 25 other pregnant women in their mid-or third-trimester underwent cesarean section (Group B). Results 15 subjects out of 18 fetus were delivered by themselves, one of them coupled with severe uterine infection, one of them underwent laparoscopic hysterectomy because of placenta implantation, while 3 subjects out of 18 underwent cesarean section because of massive vaginal bleeding. The average amount of vaginal bleeding of Group B was 780ml, 5 subjects out of 25 underwent laparoscopic hysterectomy. Conclusion Pre-operative uterine arterial embolization is a safe approach to prevent or reduce potential intra-operative bleeding in the induction of labor for pregnant women in their mid- or third-trimester with complete placenta previa, but it is important to rule out placenta implantation with type-B ultrasoniccheck and MRI.