血管内球囊阻断术在前置胎盘剖宫产中的应用  

Application of endovascular balloon occlusion in cesarean section for delivery women with placenta praevia

作　　者：刘娟芳[1] 段旭华[1] 王艳丽[1] 李浩[1] 李亚华[1] 韩新巍[1] LIU Juanfang;DUAN Xuhua;WANG Yanli;LI Hao;LI Yahua;HAN Xinwei(Department of Interventional Radiology,First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan Province 450052,China)

机构地区：[1]郑州大学第一附属医院介入放射科,450052

出　　处：《介入放射学杂志》2018年第10期997-1001,共5页Journal of Interventional Radiology

摘　　要：血管内球囊阻断术(EBO)能有效预防和减少血管阻断平面以下外科手术中致命性大出血,确保在基本无血视野下安全手术。该方法可直接阻断创伤及手术部位主要血供来源,迅速降低靶区血流灌注压力,达到显著减少出血的目的;同时可有效减少术中出血,保持术野清晰;最重要的是,阻断为暂时性,解除阻断后立即恢复血流灌注,术后并发症少,对全身循环系统及脏器功能损伤较小。该文就EBO术在前置胎盘剖宫产术中的应用及目前存在的问题作一综述。Endovascular balloon occlusion （EBO） can effectively prevent and reduce fatal massive hemorrhage distal to vascular blocking level during surgery, thus, to ensure a surgery to be safely accomplished under a basically blood-free visual field. EBO can directly obstruct the main blood supply in the traumatic region or surgical site, leading to rapid reduction of blood flow perfusion pressure in target area, thereby significantly reducing bleeding. EBO can also effectively reduce intraoperative bleeding, ensuring a clear surgical field. Most importantly, the obstruction of blood vessels is temporary and the blood flow perfusion can be promptly restored when the obstruction is removed. EBO carries less complications and less damage to systemic circulatory system and organ functions. This paper aims to make a comprehensive review about the application of EBO in cesarean section for delivery women with placenta praevia, and the existing problems in clinical practice will also be discussed.

关 键 词：血管内球囊阻断术 前置胎盘 剖宫产 致命性大出血 

分 类 号：R445.1[医药卫生—影像医学与核医学]