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

Temporary internal iliac artery balloon occlusion in cesarean section for patients with pernicious placenta previa

回顾分析我院2015年10月至2016年7月,于剖宫产术前先行经皮两侧髂内动脉置入球囊治疗的12例凶险性前置胎盘患者的临床资料.剖宫产术中在胎儿娩出后用生理盐水充盈球囊临时阻断两侧的髂内动脉,之后产科医生行胎盘剥离及子宫缝合.剖宫产术中平均出血1 146 ml,无切除子宫者,无盆腔脏器坏死或下肢动脉血栓形成等并发症发生.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,能明显减少术中的出血量和降低出血速度,有利于手术视野的清晰,能让产科医师从容地进行胎盘剥离、子宫的缝合,保留子宫.

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.