Ultrasound-guided intraabdominal aortic balloon control technique for reducing intraoperative hemorrhage of high-risk placenta previa

VernacularTitle:超声引导下腹主动脉预置阻断球囊减少高危前置胎盘手术出血
Author: Junle LIU ¹ ; Yanggang HU ; Heyi DING ; Jinhui DING ; Dapeng FU
Author Information

1. 克拉玛依市中心医院血管外科
Keywords: Placenta previa; Aorta,abdominal; Balloon occlusion; Cesarean section
From: Chinese Journal of General Surgery 2018;33(9):776-779
CountryChina
Language:Chinese
Abstract: Objective To explore the value of ultrasound-guided balloon control technique in abdominal aorta for reducing intraoperative hemorrhage in high-risk placenta previa undergoing cesarean section.Methods From Aug 2013 to Oct 2017,40 cases were admitted,among them,16 cases were treated with ultrasound-guided towed balloon prophylactic control technique of abdominal aorta (the study group) before cesarean,and 24 cases did not receive balloon occlusion (the control group) during the cesarean.Clinical data were compared between the two groups.Results The time used for uterine suture (t =10.34,P =0.01),the amount of intraoperative blood loss (t =9.51,P =0.01) and blood transfusion (t =3.41,P=0.005)in the two groups were all statistically different.While the differences in PT (t =1.02,P =0.32),ALT (t =0.54,P =0.59),AST(t =0.91,P =0.37),creatinine(t =0.75,P =0.46) were not statistically significant between the two groups.Conclusion Ultrasound-guided abdominal aortic balloon control technique can reduce the blood loss significantly in cesarean section with high-risk placenta previa.