[1]杨厚林,唐 仪,方主亭,等.腹主动脉阻断联合子宫动脉栓塞在九例前置胎盘并胎盘植入剖宫产手术中的应用[J].介入放射学杂志,2013,(12):1036-1038.
　YANG Hou? lin,TANG Yi,FANG Zhu? ting,et al. The clinical application of occlusion of the lower abdominal aorta combined with uterine artery embolization in treating placenta previa associated with placenta accreta： initial experience in 9 cases[J].journal interventional radiology,2013,(12):1036-1038.
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腹主动脉阻断联合子宫动脉栓塞在九例前置胎盘并胎盘植入剖宫产手术中的应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年12期
页码:
1036-1038
栏目:
临床研究
出版日期:
2013-12-25

文章信息/Info

Title:
 The clinical application of occlusion of the lower abdominal aorta combined with uterine artery embolization in treating placenta previa associated with placenta accreta： initial experience in 9 cases
作者:
 杨厚林;  唐 仪;  方主亭;  陈良生;  吴少杰
Author(s):
 YANG Hou?蛳 lin;  TANG Yi;  FANG Zhu?蛳 ting;  CHEN Liang?蛳 sheng;  WU Shao?蛳 jie.
 Department of Interventional Radiology， Fujian Provincial Hospital， Fuzhou， Fujian Province 350001， China
关键词:
 ; 【关键词】 前置胎盘;  胎盘植入;  球囊;  栓塞;  出血
文献标志码:
A
摘要:
 【摘要】 目的 探讨球囊低位临时阻断腹主动脉联合双侧子宫动脉栓塞控制前置胎盘合并胎盘植入术中出血的效果。方法 2010年6月—2013年3月9例前置胎盘合并胎盘植入患者剖宫产手术过程中应用球囊低位临时阻断腹主动脉联合双侧子宫动脉栓塞（球囊组），并与2008年3月—2010年5月8例未行血管阻断的前置胎盘合并胎盘植入患者（对照组）进行比较，比较术中出血量、输血量、子宫壁缝合时间。结果 球囊组术中出血量（786 ± 135）ml，出血多在球囊阻断之前，输血量（422 ± 83）ml，子宫壁缝合时间（27.9 ± 6.9）min，球囊阻断时间（27.9 ± 6.9）min。无明显并发症发生。对照组术中出血量（3 181 ±387）ml，输血量（1 487 ± 333）ml，子宫壁缝合时间（67.4 ± 15.4）min。两组间出血量、输血量、子宫壁缝合时间差异有统计学意义（P < 0.05）。结论 球囊低位临时阻断腹主动脉联合双侧子宫动脉栓塞技术能有效减少前置胎盘合并胎盘植入术中出血，是一项有临床实用价值的微创技术。

参考文献/References:

 ［1］ 丰有吉， 沈 铿． 妇产科学［M］． 2版． 北京： 人民卫生出版社， 2010： 113 ?蛳 116．
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［5］ Sadashivaiah J， Wilson R， Thein A， et al. Role of prophylactic uterine artery balloon catheters in the management of women with suspected placenta accreta［J］. Int J Obstet Anesth， 2011， 20： 282 ?蛳 287.
［6］ 檀增宪， 王玉河， 胡永立． 与髂外动脉有关的产后子宫大出血血管造影分析三例［J］． 中华放射学杂志， 2009， 43： 329．
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备注/Memo

备注/Memo:
（收稿日期：２０１3-０5-25）
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