[1]张功霖,姜永能,马润玫,等.髂内动脉球囊临时置入在五例凶险性前置胎盘剖宫产中的应用[J].介入放射学杂志,2012,(12):991-994.
　ZHANG Gong? lin,JIANG Yong? neng,MA Run? mei,et al. The application of temporary balloon occlusion of the internal iliac artery in performing cesarean hysterectomy for patients with pernicious placenta previa： an initial experience in five cases[J].journal interventional radiology,2012,(12):991-994.
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髂内动脉球囊临时置入在五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:
2012年12期
页码:
991-994
栏目:
血管介入
出版日期:
2012-12-25

文章信息/Info

Title:
 The application of temporary balloon occlusion of the internal iliac artery in performing cesarean hysterectomy for patients with pernicious placenta previa： an initial experience in five cases
作者:
 张功霖;  姜永能;  马润玫;  赵 卫
Author(s):
 ZHANG Gong?蛳 lin;  JIANG Yong?蛳 neng;  MA Run?蛳 mei;  ZHAO Wei.
 Department of Medical Imaging， First Affiliated Hospital， Kunming Medical University， Kunming 650032，
关键词:
 ; 【关键词】 髂内动脉;  球囊;  凶险性前置胎盘;  胎盘植入;  剖宫产
文献标志码:
A
摘要:
 【摘要】 目的 探讨髂内动脉球囊临时置入在凶险性前置胎盘剖宫产中的临床应用。方法 5例均经超声和磁共振诊断为凶险性前置胎盘伴胎盘植入患者，在剖宫产术前行髂内动脉球囊临时置入，待胎儿娩出脐带结扎后充盈球囊，剖宫产术后24 h去除球囊，记录所受射线剂量、出血量，并观察有无并发症发生。结果 5例髂内动脉球囊临时置入，均获得成功。出血量 ＜ 500 ml者3例，＞ 1 000 ml者2例。3例保留子宫，2例因难治性出血，行子宫全切1例，子宫次全切1例。以上5例均未发生球囊置入并发症。结论 髂内动脉球囊临时置入可减少凶险性前置胎盘剖宫产出血量，并降低了子宫切除风险。

参考文献/References:

 ［1］ Woodring TC， Klauser CK， Bofill JA， et al. Prediction of placenta accreta by ultrasonography and color Doppler imaging［J］. J Matern Fetal Neonatal Med， 2011， 24： 118 ?蛳 121.
［2］ Lim PS， Greenberg M， Edelson MI， et al. Utility of ultrasound and MRI in prenatal diagnosis of placenta accreta： a pilot study［J］. Am J Roentgenol， 2011， 197： 1506 ?蛳 1513.
［3］ Tikkanen M， Paavonen J， Loukovaara M， et al. Antenatal diagnosis of placenta accreta leads to reduced blood loss［J］. Acta Obstet Gynecol Scand， 2011， 90： 1140 ?蛳 1146.
［4］ Shrivastava V， Nageotte M， Major C， et al. Case?蛳 control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta［J］. Am J Obstet Gynecol， 2007， 197： 402.e1 ?蛳 402.e5.
［5］ Ishii T， Sawada K， Koyama S， et al. Balloon tamponade during cesarean section is useful for severe post?蛳 partum hemorrhage due to placenta previa［J］. J Obstet Gynaecol Res， 2012， 38： 102 ?蛳 107.
［6］ Yoong W， Ridout A， Memtsa M， et al. Application of uterine compression suture in association with intrauterine balloon tamponade（‘uterine sandwich’） for postpartum hemorrhage［J］. Acta Obstet Gynecol Scand， 2012， 91： 147 ?蛳 151.
［7］ 万 军， 顾伟瑾， 王海云， 等． 双侧子宫动脉化疗栓塞治疗剖宫产后瘢痕妊娠大出血的临床应用［J］． 介入放射学杂志， 2009， 18： 499 ?蛳 502．
［8］ Yi KW， Oh MJ， Seo TS， et al. Prophylactic hypogastric artery ballooning in a patient with complete placenta previa and increta［J］. J Korean Med Sci， 2010， 25： 651 ?蛳 655.
［9］ 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．
［10］ Sawada A， Miyashita R， Edanaga M， et al. Anesthetic management of caesarean section using common iliac artery balloon occlusion in patients with placenta previa［J］. Masui， 2011， 60： 1401 ?蛳 1404.
［11］ Masamoto H， Uehara H， Gibo M， et al. Elective use of aortic balloon occlusion in cesarean hysterectomy for placenta previa percreta［J］. Gynecol Obstet Invest， 2009， 67： 92 ?蛳 95.
［12］ 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.
［13］ Bishop S， Butler K， Monaghan S， et al. Multiple complications following the use of prophylactic internal iliac artery balloon catheterisation in a patient with placenta percreta［J］. Int J Obstet Anesth， 2011， 20： 70 ?蛳 73.
［14］ Bodner LJ， Nosher JL， Gribbin C， et al. Balloon?蛳 assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta［J］. Cardiovasc Intervent Radiol， 2006， 29： 354 ?蛳 361.
［15］ Carnevale FC， Kondo MM， de Oliveira Sousa W Jr， et al. Perioperative temporary occlusion of the internal iliac arteries as prophylaxis in cesarean section at risk of hemorrhage in placenta accreta［J］. Cardiovasc Intervent Radiol， 2011， 34： 758 ?蛳 764.
［16］ Brent RL. Utilization of developmental basic science principles in the evaluation of reproductive risks from pre?蛳 and postconception environmental radiation exposures［J］. Teratology， 1999， 59： 182 ?蛳 204.

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