Abstract：Objective To investigate the clinical effect of temporary placement of abdominal aorta balloon for treatment of placenta previa with implantation. Methods A retrospective analysis of 42 cases of placenta previa with implantation was conducted. Observation group included 19 cases, which collected from January 2014 to December 2016 and control group were 23 cases, which collected from January 2012 to December 2014. Observation group used temporary placement of abdominal aortic ball before caesarean section and control group was treated by conventional cesarean section. The amount of bleeding, uterine retention, operation time, length of stay, antibiotic use time, postpartum hemorrhage rate, neonatal asphyxia and other differences were compared between the two groups.Results The amount of bleeding, uterine retention, operative time, hospital stay, antibiotic use time, postpartum hemorrhage were statistically less in observation group than control group. There was no significant difference in postpartum hemorrhage, asphyxia, infection between the two groups.Conclusion Temporary placement of abdominal aorta balloon during cesarean could reduce bleeding and risk of hysterectomy. It was a safe and effective treatment for placenta previa with implantation.
毛邱娴,周敬珍,李立恒. 腹主动脉球囊临时放置治疗前置胎盘伴植入效果分析[J]. 中国生育健康杂志, 2018, 29(5): 424-427.
MAO Qiuxian, ZHOU Jingzhen, LI liheng. Temporary placement of abdominal aorta balloon for treatment of placenta previa with implantation. Chinese Journal of Reproductive Health, 2018, 29(5): 424-427.
1 谢幸,苟文丽主编.妇产科学.第8版.北京:人民卫生出版社,2014:126-127.
2 Woiski MD,Scheepers HJ,Liefers J,et al.Guideline-based development of quality indicators for prevention and management of postpartum hemorrhage.Acta Obstet Gynecol Scand,2015,94:1118-1127.
3 Matsubara S,Kuwata T,Usui R,et al.Important surgical measures and techniques at cesarean hysterectomy for placenta previa accreta.Acta Obstet Gynecol Scand,2013,92:372-377.
4 刘传,赵先兰,刘彩,等.腹主动脉球囊阻断在凶险性前置胎盘合并胎盘植人剖宫产术中的应用.实用妇产科杂志,2016,32:204-207.
5 林靓,余艳红,杨茵,等.剖宫产术中宫腔填塞联合腹主动脉远端预置球囊阻断治疗植入型凶险型前置胎盘.中国微创外科杂志,2014,14:608-611.
6 Panici PB1,Anceschi M,Borgia ML,et.al.Intraoperative aorta balloon occlusion:fertility preservation in patients with placenta previa accreta/increta.J Matern Fetal Neonatal Med, 2012,25:2512-2516.
7 Pather S,Stroekyi S,Richards A,et al.Maternal outcome after conservative management of placenta perereta at caesarean section:a report of three cases and a review of the literature.Aust N Z J Obstet Gynaecol,2014,54:84-87.
8 刘毅,林永红,周辉,等.双侧髂内动脉球囊封堵术控制凶险性前置胎盘剖宫产术中出血的临床分析.实用妇产科杂志.2014,30:552-554.
9 阳笑,陈政,游一平.腹主动脉球囊预置术与髂内动脉球囊预置术在植入型凶险性前置胎盘治疗中的比较研究.实用妇产科杂志,2016,32:684-688.
