Temporary internal iliac artery balloon occlusion in cesarean section for patients with pernicious placenta previa
10.3760/cma.j.issn.1671-7368.2017.09.013
- VernacularTitle:髂内动脉球囊临时阻断在凶险性前置胎盘剖宫产术中的应用
- Author:
Fuzhong LIU
;
Jinxia XU
;
Yu LIU
- Keywords:
Placenta previa;
Ultrasonography,interventional;
Balloon occlusion;
Iliac artery
- From:
Chinese Journal of General Practitioners
2017;16(9):708-710
- CountryChina
- Language:Chinese
-
Abstract:
Clinical data of 12 patients with pernicious placenta previa admitted in our hospital from October 2015 to July 2016 were retrospectively reviewed.Bilateral internal ilia artery balloons were placed percutaneously before cesarean section.After cesarean delivery normal saline was applied to fill the balloon for temporary occlusion of bilateral iliac arteries,then placental separation and hysterorrhaphy were performed.The average volume of bleeding during cesarean section was 1 146 ml.There were no hysterectomy,pelvic organ necrosis,lower limb artery thromosis and other complications.The application of temporary internal iliac artery balloon occlusion can significantly reduce the intraoperative bleeding in cesarean section for patients with pernicious placenta previa.It provides a clear operational field for obstetricians to perform the placental separation and hysterorrhaphy,facilitating the uterine reservation.
