發(fā)布時(shí)間：2018-06-05 02:12

  本文選題：髂內(nèi)動(dòng)脈 + 球囊�。� 參考：《東南大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年06期

【摘要】：目的:探討雙側(cè)髂內(nèi)動(dòng)脈球囊臨時(shí)阻斷術(shù)在兇險(xiǎn)性前置胎盤剖宮產(chǎn)術(shù)中的應(yīng)用。方法:回顧性分析2015年12月至2016年7月在江蘇省淮安市婦幼保健院產(chǎn)科收治的12例兇險(xiǎn)性前置胎盤患者,術(shù)前預(yù)置球囊于雙側(cè)髂內(nèi)動(dòng)脈內(nèi),娩出胎兒后迅速充盈球囊,觀察術(shù)中出血量、輸血情況、手術(shù)時(shí)間、手術(shù)并發(fā)癥,以及是否子宮切除及隨訪情況。結(jié)果:本組12例患者均完整保留子宮,無子宮切除。術(shù)中失血量(200.0±901.5)ml,術(shù)中輸入紅細(xì)胞懸液(625.0±537.9)ml(4例同期輸入血漿),手術(shù)時(shí)間(69.8±21.5)min,4例(33.3%)未合并胎盤植入,8例(66.7%)合并胎盤植入,2例(16.7%)邊緣前置胎、3例(25.0%)部分前置胎盤和7例(58.3%)完全前置胎盤,9例(75.0%)娩胎兒后立即球囊封堵,3例(25.0%)為出血較多或嚴(yán)重時(shí)球囊封堵,出院隨訪母嬰無嚴(yán)重并發(fā)癥和后遺癥。結(jié)論:雙側(cè)髂內(nèi)動(dòng)脈球囊臨時(shí)阻斷術(shù)可用于治療兇險(xiǎn)性前置胎盤。
[Abstract]:Objective: To explore the application of bilateral internal iliac artery balloon temporary occlusion in the perilous placenta previa cesarean section. Methods: a retrospective analysis of 12 cases of perilous placenta previa admitted from December 2015 to July 2016 in Huai'an Maternal and Child Health-Care Center of Jiangsu province. Fill the balloon, observe the amount of bleeding, blood transfusion, operation time, surgical complications, and whether hysterectomy and follow-up. Results: 12 patients in this group all retained the uterus without hysterectomy. The amount of blood loss was (200 + 901.5) ml during the operation, and the operation time was (625 + 537.9) ml (4 cases input plasma) during the operation, and the operation time (69.8 + 2). 1.5) min, 4 cases (33.3%) without placental implantation, 8 cases (66.7%) with placenta implantation, 2 (16.7%) marginal prefoetus, 3 (25%) placenta previa and 7 (58.3%) complete placenta previa, 9 (75%) fetus immediately after fetal balloon occlusion. Conclusion: bilateral internal iliac artery balloon temporary occlusion can be used for the treatment of dangerous placenta previa.
【作者單位】： 江蘇省淮安市婦幼保健院產(chǎn)科;江蘇省淮安市婦幼保健院介入科;
【分類號(hào)】：R719.8
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本文編號(hào)：1979969