双侧髂内动脉球囊临时阻断术在凶险性前置胎盘剖宫产术中的应用

发布时间：2018-06-05 02:12

  本文选题：髂内动脉 + 球囊　； 参考：《东南大学学报(医学版)》2017年06期

【摘要】：目的:探讨双侧髂内动脉球囊临时阻断术在凶险性前置胎盘剖宫产术中的应用。方法:回顾性分析2015年12月至2016年7月在江苏省淮安市妇幼保健院产科收治的12例凶险性前置胎盘患者,术前预置球囊于双侧髂内动脉内,娩出胎儿后迅速充盈球囊,观察术中出血量、输血情况、手术时间、手术并发症,以及是否子宫切除及随访情况。结果:本组12例患者均完整保留子宫,无子宫切除。术中失血量(200.0±901.5)ml,术中输入红细胞悬液(625.0±537.9)ml(4例同期输入血浆),手术时间(69.8±21.5)min,4例(33.3%)未合并胎盘植入,8例(66.7%)合并胎盘植入,2例(16.7%)边缘前置胎、3例(25.0%)部分前置胎盘和7例(58.3%)完全前置胎盘,9例(75.0%)娩胎儿后立即球囊封堵,3例(25.0%)为出血较多或严重时球囊封堵,出院随访母婴无严重并发症和后遗症。结论:双侧髂内动脉球囊临时阻断术可用于治疗凶险性前置胎盘。
[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.
【作者单位】： 江苏省淮安市妇幼保健院产科;江苏省淮安市妇幼保健院介入科;
【分类号】：R719.8
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本文编号：1979969