[1]陈坤前,李发旺,朱恩全,等.超声导引球囊阻断术在13例凶险性前置胎盘剖宫产中的应用 [J].介入放射学杂志,2017,(10):915-917.
 CHEN Kunqian,LI Fangwang,ZHU Enquan,et al.Application of ultrasound- guided temporary balloon occlusion in performing cesarean section for patients with pernicious placenta previa: initial results in 13 cases[J].journal interventional radiology,2017,(10):915-917.
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超声导引球囊阻断术在13例凶险性前置胎盘剖宫产中的应用


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

卷:
期数:
2017年10期
页码:
915-917
栏目:
临床研究
出版日期:
2017-10-25

文章信息/Info

Title:
Application of ultrasound- guided temporary balloon occlusion in performing cesarean section for patients with pernicious placenta previa: initial results in 13 cases
作者:
陈坤前 李发旺 朱恩全 谢 奎 李文良 张明礼 耿 超 王爱国 刘剑峰 郭 颢
Author(s):
CHEN Kunqian LI Fangwang ZHU Enquan XIE Kui LI Wenliang ZHANG Mingli GENG Chao WANG Aiguo LIU Jianfeng GUO Hao
Department of Interventional Radiology, Qujing Municipal First People’s Hospital, Qujing, Yunnan Province 655000, China
关键词:
【关键词】 球囊阻断 凶险性前置胎盘 胎盘植入
文献标志码:
A
摘要:
【摘要】 目的 探讨超声导引球囊阻断术在凶险性前置胎盘产妇行剖宫产手术中的应用价值。方法 曲靖市第一人民医院介入科联合超声科,协助产科完成凶险性前置胎盘剖宫产手术共13例,13例产妇均经彩色超声和MRI诊断为中央型前置胎盘。剖宫产术前于双侧髂总动脉或腹主动脉预置封堵球囊,胎儿娩出同时立即充盈球囊对目标血管进行临时封堵,并根据产科医师止血状况,适时撤出球囊。结果 13例中1例为腹主动脉封堵,12例为双侧髂总动脉封堵。13例中12例经超声导引封堵成功,平均阻断时间<15 min,术中出血量800~1 500 ml。结论 剖宫产前超声导引球囊阻断术治疗凶险性前置胎盘安全可靠,可明显减少术中出血,无X线辐射,值得临床推广。

参考文献/References:

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[2] 李 艳, 陈春梅, 罗 丹, 等. 介入术联合宫腔球囊在减少凶险性前置胎盘剖宫产术中出血的应用[J]. 四川医学, 2015, 36: 1426- 1429.
[3] 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- 287.
[4] Tan CH, Tay KH, Sheah K, et al. Perioperative endovascular internal iliac artery occlusion balloon placement in management of placenta accreta[J]. AJR Am J Roentgenol, 2007, 189: 1158- 1163.

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备注/Memo

备注/Memo:
(收稿日期:2016-12-16)
(本文编辑:边 佶)
更新日期/Last Update: 2017-10-15