本文選題：兇險(xiǎn)性前置胎盤　切入點(diǎn)：胎盤植入　出處：《介入放射學(xué)雜志》2017年05期

【摘要】：目的比較不同球囊阻斷技術(shù)用于兇險(xiǎn)性前置胎盤剖宮產(chǎn)術(shù)中的安全性、有效性。方法回顧性分析2014年3月至2016年4月施行剖宮產(chǎn)術(shù)的15例兇險(xiǎn)性前置胎盤患者。為減少術(shù)中出血并盡可能保留子宮,其中7例接受腹主動(dòng)脈球囊臨時(shí)阻斷術(shù)(A組),8例接受雙側(cè)髂內(nèi)動(dòng)脈球囊臨時(shí)阻斷術(shù)(B組)。記錄并比較兩組患者介入術(shù)中輻射劑量,剖宮產(chǎn)術(shù)中出血量、輸血量、子宮切除率,術(shù)后住院時(shí)間及介入相關(guān)并發(fā)癥。結(jié)果 15例患者均為中央型前置胎盤伴胎盤植入廣泛,在球囊臨時(shí)阻斷輔助下均順利實(shí)施剖宮產(chǎn)手術(shù)。7例(A組4例,B組3例)作子宮次全切,兩組各1例術(shù)后出現(xiàn)下肢動(dòng)脈血栓栓塞。A組輻射劑量明顯低于B組(P0.01),術(shù)中出血量、輸血量、子宮切除率、產(chǎn)后住院時(shí)間及介入相關(guān)并發(fā)癥發(fā)生率均低于B組,但病例數(shù)有限,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論球囊阻斷技術(shù)輔助剖宮產(chǎn)術(shù)是治療兇險(xiǎn)性前置胎盤的安全有效方法,腹主動(dòng)脈球囊臨時(shí)阻斷術(shù)輻射劑量明顯低于雙側(cè)髂內(nèi)動(dòng)脈球囊臨時(shí)阻斷術(shù)。
[Abstract]:Objective to compare the safety of different balloon blocking techniques in severe placenta previa caesarean section. Methods Fifteen patients with dangerous placenta previa who underwent cesarean section from March 2014 to April 2016 were retrospectively analyzed. In group A, 8 cases received bilateral internal iliac artery balloon temporary occlusion of bilateral internal iliac artery. The radiation dose, blood loss, blood transfusion and hysterectomy rate during cesarean section were recorded and compared between the two groups. Results all the 15 patients were central placenta previa with extensive placenta accreta. All the 15 patients underwent cesarean section successfully with temporary balloon occlusion. Group A (n = 4) underwent subtotal hysterectomy, and group B (n = 3) underwent subtotal hysterectomy. The radiation dose in group A was significantly lower than that in group B (P 0.01). The amount of intraoperative blood loss, blood transfusion, hysterectomy rate, postpartum hospital stay and interventional complications were lower than those in group B, but the number of cases was limited. Conclusion Cesarean section with balloon blocking technique is a safe and effective method for the treatment of dangerous placenta previa. The radiation dose of temporary balloon occlusion of abdominal aorta is significantly lower than that of bilateral internal iliac artery balloon temporary occlusion.
【作者單位】： 海南省人民醫(yī)院放射介入科;
【分類號(hào)】：R719.8
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本文編號(hào)：1683140