<noframes id="l5hdb"><address id="l5hdb"></address>
<sub id="l5hdb"></sub>

          <address id="l5hdb"></address>

          |本期目錄/Table of Contents|

          [1]田 瓊,楊 梅.髂總動脈對比髂內動脈球囊阻斷術在胎盤植入的剖宮產術中的比較[J].福建醫科大學學報,2020,54(02):121-126.
           TIAN Qiong,YANG Mei.Compare Clinical Outcomes of Prophylactic Balloon Occlusion of InternalIliac Arteries and Common Iliac Arteries in Patients with Placenta Accrete[J].Journal of Fujian Medical University,2020,54(02):121-126.
          點擊復制

          髂總動脈對比髂內動脈球囊阻斷術在胎盤植入的剖宮產術中的比較(PDF)
          分享到:

          《福建醫科大學學報》[ISSN:1672-4194/CN:35-1192/R]

          卷:
          第54卷
          期數:
          2020年02期
          頁碼:
          121-126
          欄目:
          臨床研究
          出版日期:
          2020-04-30

          文章信息/Info

          Title:
          Compare Clinical Outcomes of Prophylactic Balloon Occlusion of InternalIliac Arteries and Common Iliac Arteries in Patients with Placenta Accrete
          文章編號:
          1672-4194(2020)02-0121-06
          作者:
          田 瓊1 楊 梅2
          武漢市第四醫院,華中科技大學 同濟醫學院附屬普愛醫院,武漢 430000 1. 產科; 2. 婦科
          Author(s):
          TIAN Qiong1 YANG Mei2
          1.Department of Obstetrics, The Fourth Hospital of Wuhan, Wuhan Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China; 2.Department of Gynecology, The Fourth Hospital of Wuhan, Wuhan Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China
          關鍵詞:
          髂動脈 胎盤侵入性 失血 手術 隊列效應
          Keywords:
          iliac artery placenta accreta blood loss surgical cohort effect
          分類號:
          R322.121; R714.462; R714.56
          DOI:
          -
          文獻標志碼:
          A
          摘要:
          目的 對比髂總動脈(CIA)和髂內動脈(IIA)預防性球囊阻斷術對于胎盤植入患者剖宮產術中、術后出血以及圍手術期相關指標的影響。 方法 回顧性分析95例行預防性球囊阻斷術的胎盤植入患者的臨床資料。CIA組55例,接受CIA預防性球囊阻斷術; IIA組40例,接受IIA預防性球囊阻斷術。分析比較兩組患者的術中估算的失血量(EBL)、24 h EBL、輸血量以及圍手術期其他相關指標的差異。 結果 CIA組的EBL和24 h EBL均低于IIA組(P<0.001),而兩組的輸血量差別無統計學意義(P=0.306)。CIA組的住院時間較IIA組短(P=0.034),1分鐘阿氏評分較IIA組高(P=0.048),而兩組的手術時間(P=0.218)、輻射劑量(P=0.733)、球囊擴張時間(P=0.600)、子宮切除率(P=0.967)、ICU住院率(P=0.173)以及新生兒體質量(P=0.265)差別均無統計學意義。此外,進一步多元線性分析發現,CIA預防性球囊阻斷術相較于IIA預防性球囊阻斷術可獨立預測更低的術中EBL(P=0.027)。 結論 相較于IIA預防性球囊阻斷術,CIA預防性球囊阻斷術對于降低胎盤植入患者的術中EBL、24 h EBL、住院時間和提高新生兒阿氏評分效果更好。
          Abstract:
          Objective To compare the haemostatic effects and clinical perioperative outcomes of prophylactic balloon occlusion(PB)of internal iliac arteries(IIA)and common iliac arteries(CIA)in patients with placenta accrete. Methods 95 patients with placenta accrete were retrospectively reviewed. Among them, 55 who underwent PB of CIA were allocated into CIA group, and 40 who underwent PB of IIA were classified into IIA group. We compared the estimated blood loss(EBL), 24 h EBL, blood transfusion volume(BTV), and other related perioperative outcomes between two groups. Results CIA group had less EBL(P<0.001)and 24 h EBL(P <0.001)compared to IIA group, while BTV between two groups were similar(P=0.306). CIA group had decreased length of postoperative hospital stay(P=0.034), and higher apgar score(P=0.048)compared with IIA group, but two groups had similar operation duration(P=0.218), radiation dose(P=0.733), balloon dilatation duration(P =0.600), hysterectomy rate(P=0.967), need for ICU admission(P=0.173), and weight of newborn(P=0.265). Further multivariate linear regression analysis revealed CIA(vs IIA)could independently predict less EBL(P=0.027). Conclusion PB of CIA is more effective in decreasing EBL, 24 h EBL and length of postoperative hospital stay, and improving apgar score compared with IIA in patients with placenta accrete.

          參考文獻/References:

          [1] Luo F, Xie L, Xie P, et al. Intraoperative aortic balloon occlusion in patients with placenta previa and/or placenta accreta: a retrospective study[J]. Taiwan J Obstet Gynecol, 2017,56(2):147-152.
          [2] 中華醫學會圍產醫學分會; 中華醫學會婦產科學分會產科學組. 胎盤植入診治指南(2015)[J]. 中華圍產醫學雜志, 2015,18(7):481-485.
          [3] Ono Y, Murayama Y, Era S, et al. Study of the utility and problems of common iliac artery balloon occlusion for placenta previa with accreta[J]. J Obstet Gynaecol Res, 2018,44(3):456-462.
          [4] Martinelli T, Thony F, Declety P, et al. Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures[J]. J Trauma, 2010,68(4):942-948.
          [5] 綦小蓉, 彭鴻靈. 球囊阻斷術在胎盤異常附著中的應用[J]. 實用婦產科雜志, 2015,31(12): 908-911.
          [6] Dubois J, Garel L, Grignon A, et al. Placenta percreta: balloon occlusion and embolization of the internal iliac arteries to reduce intraoperative blood losses[J]. Am J Obstet Gynecol, 1997,176(3): 723-726.
          [7] Shih J C, Liu K L, Shyu M K. Temporary balloon occlusion of the common iliac artery: new approach to bleeding control during cesarean hysterectomy for placenta percreta[J]. Am J Obstet Gynecol,2005,193(5): 1756-1758.
          [8] Tan Y L, Suharjono H, Lau N L, et al. Prophylactic bilateral internal iliac artery balloon occlusion in the management of placenta accreta: A 36-month review[J]. Med J Malaysia, 2016,71(3): 111-116.
          [9] Feng S, Liao Z, Huang H. Effect of prophylactic placement of internal iliac artery balloon catheters on outcomes of women with placenta accreta: an impact study[J]. Anaesthesia, 2017,72(7): 853-858.
          [10] Bartels H C, Postle J D, Downey P, et al. Placenta accreta spectrum: a review of pathology, molecular biology, and biomarkers[J]. Dis Markers, 2018,2018: 1507674.
          [11] Dighe M. MR imaging of abnormal placentation[J]. Magn Reson Imaging Clin N Am, 2017,25(3): 601-610.
          [12] Hishikawa K, Koshiyama M, Ueda M, et al. Exchange of intraoperative balloon occlusion of the internal iliac artery for the common iliac artery during cesarean hysterectomy in a patient with placenta percreta[J]. Am J Case Rep, 2013,14: 409-411.
          [13] Xie L, Wang Y, Luo F Y, et al. Prophylactic use of an infrarenal abdominal aorta balloon catheter in pregnancies complicated by placenta accreta[J]. J Obstet Gynaecol, 2017,37(5): 557-561.
          [14] Li K, Zou Y, Sun J, et al. Prophylactic balloon occlusion of internal iliac arteries, common iliac arteries and infrarenal abdominal aorta in pregnancies complicated by placenta accreta: a retrospective cohort study[J]. Eur Radiol, 2018,28(12): 4959-4967.
          [15] Conner S N, Tuuli M G, Colvin R, et al. Accuracy of estimated blood loss in predicting need for transfusion after delivery[J]. Am J Perinatol, 2015,32(13): 1225-1230.
          [16] Fan Y, Gong X, Wang N, et al. A prospective observational study evaluating the efficacy of prophylactic internal iliac artery balloon catheterization in the management of placenta previa-accreta: A strobe compliant article[J]. Medicine(Baltimore), 2017,96(45): e8276.
          [17] Heinze S, Filsinger B, Kastenholz G, et al. Intraoperative intermittent blocking of the common iliac arteries in cases of placenta percreta without the use of fluoroscopy[J]. Rofo,2016,188(12): 1151-1155.
          [18] Chou M M, Kung H F, Hwang J I, et al. Temporary prophylactic intravascular balloon occlusion of the common iliac arteries before cesarean hysterectomy for controlling operative blood loss in abnormal placentation[J]. Taiwan J Obstet Gynecol, 2015,54(5): 493-498.
          [19] Liu J, Xu J, Jiao D, et al. Comparison of the efficacy of prophylactic balloon occlusion of the abdominal aorta at or below the level of the renal artery in women with placenta accreta undergoing cesarean section[J]. J Matern Fetal Neonatal Med, 2019: 1-8.
          [20] Makary M, Chowdary P, Westgate J A. Vascular balloon occlusion and planned caesarean hysterectomy for morbidly adherent placenta: A systematic review[J]. Aust N Z J Obstet Gynaecol,2019,59(5): 608-615.
          [21] Minas V, Gul N, Shaw E, et al. Prophylactic balloon occlusion of the common iliac arteries for the management of suspected placenta accreta/percreta: conclusions from a short case series[J]. Arch Gynecol Obstet,2015,291(2): 461-465.
          [22] Dilauro M D, Dason S, Athreya S. Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta: literature review and analysis[J]. Clin Radiol,2012,67(6): 515-520.
          [23] Papillon-Smith J, Singh S S, Ziegler C. Internal iliac artery rupture caused by endovascular balloons in a woman with placenta percreta[J]. J Obstet Gynaecol Can, 2016,38(11): 1024-1027.
          [24] Thon S, Mc Lintic A, Wagner Y. Prophylactic endovascular placement of internal iliac occlusion balloon catheters in parturients with placenta accreta: a retrospective case series[J]. Int J Obstet Anesth, 2011,20(1): 64-70.

          相似文獻/References:

          [1]甘 玲,李海英,劉新秀,等.產后胎盤滯留的超聲造影聲像表現及臨床指導意義[J].福建醫科大學學報,2019,53(02):120.
           GAN Ling,LI Haiying,LIU Xinxiu,et al.Contrast-Enhanced Ultrasound Imaging of Postpartum Placenta Retention and its Clinical Guiding Significance[J].Journal of Fujian Medical University,2019,53(02):120.

          備注/Memo

          備注/Memo:
          收稿日期: 2019-07-12作者簡介: 田 瓊,女,護師通訊作者: 楊 梅. Email: yuanli13753@163.com
          更新日期/Last Update: 2020-04-30
          鼎盛彩票