[1]张 剑,张文淼,黄士勇,等.腹主动脉与髂内动脉球囊阻断在凶险性前置胎盘剖宫产术中应用对比研究 [J].介入放射学杂志,2018,27(09):827-831.
 ZHANG Jian,ZHANG Wenmiao,HUANG Shiyong,et al.Abdominal aorta balloon occlusion vs internal iliac artery balloon occlusion in performing cesarean section for delivery women with pernicious placenta previa: a comparative study[J].journal interventional radiology,2018,27(09):827-831.
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腹主动脉与髂内动脉球囊阻断在凶险性前置胎盘剖宫产术中应用对比研究 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年09期
页码:
827-831
栏目:
血管介入
出版日期:
2018-09-25

文章信息/Info

Title:
Abdominal aorta balloon occlusion vs internal iliac artery balloon occlusion in performing cesarean section for delivery women with pernicious placenta previa: a comparative study
作者:
张 剑 张文淼 黄士勇 范良好 胡文豪
Author(s):
ZHANG JianZHANG Wenmiao HUANG Shiyong FAN Lianghao HU Wenhao
Department of Interventional Radiology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province 325014,China
关键词:
【关键词】 髂内动脉球囊阻断 腹主动脉球囊阻断 凶险性前置胎盘 剖宫产
文献标志码:
A
摘要:
【摘要】 目的 对比研究双侧髂内动脉球囊阻断与腹主动脉球囊阻断在凶险性前置胎盘(PPP)剖宫产术中应用的临床疗效及安全性。方法 2015年9月至2017年9月对33例经彩色多普勒超声和/或MR诊断为PPP伴/不伴胎盘植入产妇剖宫产前行临时动脉球囊阻断术。随机分为两组,双侧髂内动脉球囊阻断17例(A组),腹主动脉球囊阻断16例(B组)。主要观察透视时间、辐射剂量、手术时间、术中出血量、新生儿Apgar评分及手术相关并发症。结果 33例均成功完成临时球囊阻断术。B组平均透视时间、辐射剂量、术中出血量均低于A组(P<0.05),两组间剖宫产时间、新生儿Apgar评分(1、5、10 min)差异均无统计学意义(P>0.05)。33例子宫均未切除,也未发生手术相关并发症。结论 PPP剖宫产术中双侧髂内动脉临时球囊阻断或腹主动脉临时球囊阻断,可有效减少术中出血量,降低子宫切除概率,但腹主动脉球囊阻断临床效果及辐射防护安全性较优于双侧髂内动脉球囊阻断。

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备注/Memo

备注/Memo:
(收稿日期:2018-01-02)
(本文编辑:边 佶)
更新日期/Last Update: 2018-09-11