胎盘植入患者血管栓塞治疗

Vascular embolization for placenta accreta

胎盘植入是严重威胁母胎健康的疾病,其治疗手段尚未统一,目前血管栓塞治疗为治疗手段之一。胎盘植入患者预防与治疗产后出血的血管栓塞方法包括:术前预防性血管球囊闭塞术、术中及术后血管栓塞术。血管栓塞的优势为减少手术失血量与输血量,术后并发症及住院时间等。但同时也存在发生一定并发症的风险,包括盆腔内感染、器官缺血、发热、白细胞升高、组织神经疼痛、血管栓塞等。血管栓塞的应用还有待临床大样本的研究进一步评价。

Placenta implantation is a serious disease threatened to mother and fetus healthy. While the present treatment has not been unified, vascular embolization is one of the treatments. The method of vascular embolization in prevention and treatment of postpartum haemorrhage in patients with placenta implantation include preoperative prophylactic vascular balloon occlusion, intraoperative and postoperative vascular embolization. The advantages of vascular embolization are minimizing surgical blood loss, blood transfusion, postoperative complications and the length of hospital stay, etc. But there is also a certain risk of complications, including pelvic cavity infection, organ ischemia, fever, elevated white blood cell, tissue nerve pain, vascular embolization, etc. The clinical application of vascular embolization need large sample research to be further evaluated.