Application of bilateral internal iliac artery balloon occlusion in cesarean section for dangerous placenta previa and placenta implantation
10.3760/cma.j.issn.1008-6706.2018.13.025
- VernacularTitle: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
- Author:
Xudong HUANG
1
;
Xuan SU
;
Junwei ZHANG
;
Di CAI
;
Feng ZHANG
;
Guihao WANG
;
Deling KONG
;
Peng XIA
Author Information
1. 淮南东方医院集团总院介入科
- Keywords:
Placenta previa;
Cesarean section;
Iliac artery
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(13):1728-1731,后插1
- CountryChina
- Language:Chinese
-
Abstract:
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 iliac 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 iliac 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 0-3 000mL,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.
