球囊阻断术在胎盘异常附着中的应用

发布时间：2018-02-22 04:31

本文关键词： 球囊阻断术胎盘异常附着产后出血　出处：《实用妇产科杂志》2015年12期 　论文类型：期刊论文

【摘要】：近年来由于剖宫产率的升高,胎盘异常附着(包括前置胎盘、胎盘粘连、胎盘植入、穿透性胎盘等)发生率明显升高,与之相关的严重产后出血发生率也随之上升。减少术中出血是抢救成功的关键。球囊阻断术主要针对可能发生危及产妇生命的致命性大出血的高危人群,能精确输送和定位血管内球囊,扩张球囊后能阻断盆腔血流,有助于减少术中及产后出血。球囊阻断术多选择髂内动脉、髂总动脉或腹主动脉平面,三个平面的球囊阻断术各有利弊;对于不同血管阻断平面的阻断时间仍在摸索阶段。大多数的文献认为,球囊阻断术能减少产后出血、降低子宫切除率,但仍然存在严重失血、切除子宫以及形成血栓等不良结局的可能性。
[Abstract]:In recent years, the incidence of abnormal placental attachment (including placenta previa, placenta adhesions, placenta accreta, penetrating placenta, etc.) has increased due to the increased rate of cesarean section. The incidence of severe postpartum hemorrhage associated with it also increased. Reducing intraoperative bleeding is the key to successful rescue. Balloon blockage is aimed at people at high risk of fatal haemorrhage that may threaten the life of the parturient. It can accurately transport and locate intravascular balloon, can block pelvic blood flow after balloon dilation, and is helpful to reduce intraoperative and postpartum hemorrhage. The internal iliac artery, common iliac artery or abdominal aorta are often selected for balloon occlusion. The three levels of balloon occlusion have their own advantages and disadvantages; the time of blocking different vascular occlusion planes is still in the exploratory stage. Most of the literature suggests that balloon occlusion can reduce postpartum hemorrhage and reduce the rate of hysterectomy, but there is still serious blood loss. The possibility of an adverse outcome such as hysterectomy and thrombosis.
【作者单位】：四川大学华西第二医院;
【基金】：四川省卫生和计划生育委员会科研课题(编号:140046)
【分类号】：R714.462

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