双侧髂内动脉球囊阻断术在凶险性胎盘植入剖宫产术中应用效果观察  

Application of bilateral internal iliac artery balloon occlusion in cesarean section for dangerous placenta previa and placenta implantation

作　　者：黄旭东[1] 苏璿 张均维[1] 蔡弟 张凤[1] 王桂浩 孔德玲[1] 夏鹏 Huang Xudong;Su Xuan;Zhang Junwei;Cai Di;Zhang Feng;Wang Guihao;Kong Deling;Xia Peng.(Department of Intervention, the General Hospital of Huainan Oriental Hospital Group, Huainan ,Anhui 232000, Chin)

机构地区：[1]淮南东方医院集团总院介入科,安徽省淮南232000

出　　处：《中国基层医药》2018年第13期1728-1731,I0007,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：安徽省淮南市科技计划项目（2014A2111）

摘　　要：目的探讨双侧髂内动脉球囊阻断术在凶险性前置胎盘并胎盘植入患者剖宫产术中的应用效果。方法回顾性分析淮南东方医院集团总院2011年1月至2016年12月收治的凶险性前置胎盘并胎盘植入患者15例的临床资料，全部患者于剖宫产术前在导管室行髂内动脉插管，并送人球囊，将球囊放置双侧髂内动脉，术中充盈球囊临时阻断髂内动脉血流。记录剖宫产术中子宫切除例数，检测孕妇接受的射线剂量。结果术中出血量200～4000mL，平均1500mL；术中、术后输红细胞0～3000mL，平均1000mL；无产妇及胎儿死亡等严重并发症，2例行子宫切除，切除率为10．8％。结论双侧髂内动脉球囊阻断术可有效地控制凶险性前置胎盘剖宫产术中出血，减少子宫切除，辐射剂量对胎儿安全。Objective To investigate the effect of bilateral internal iliac artery balloon occlusion in cesarean section for dangerous placenta previa and placenta implantation. Methods From January 2011 to December 2016, The clinical data of 15 cases of dangerous placenta previa and placenta implantation were retrospectively analyzed in the General Hospital of Huainan Oriental Hospital Group. All patients underwent internal iliae arterial intubation prior to cesarean section and into the balloon, placed the balloon in the bilateral internal iliac artery, and filled the balloon to temporarily block internal iliae arterial blood flow. The number of hysterectomy cases of cesarean sections were recorded. Results The amount of intraoperative hemorrhage was about 200 -4 000mL, average 1 500mL. Intraoperative, postoperative red blood cell was 0 -3000mL, average 1 000mL, there were no maternal and fetal death and serious complications,2 cases in hysterectomy, the resection rate was 10.8%. Conclusion Bilateral internal iliac arterial balloon occlusion can effectively control the bleeding of the dangerous placenta previa during cesarean section and reduce the hysterectomy. The radiation dose is safe for the fetus.

关 键 词：前置胎盘 剖宫产术 髂动脉 

分 类 号：R719.8[医药卫生—妇产科学]