Clinical Application of Balloon Occlusion of Bilateral Common Iliac Artery in Patients with


	Pernicious Placenta Previa under Ultrasound Guidance

doi:10. 3969/j. issn. 2096-2266. 2021. 10. 012

Abstract

Abstract: Objective： To explore the clinical value of ultrasound-guided balloon blocking for temporary occlusion of bilateral common iliac arteries in cesarean section for patients with pernicious placenta previa （PPP）. Methods： A total of 92 cases of cesarean section with PPP were performed by the Department of Ultrasound，Intervention and Obstetrics. These cases were diagnosed by ultrasonography and/or MRI. Before cesarean section， the balloons of bilateral common iliac artery were pre-positioned under the guidance of ultrasound. When the umbilical cord was clipped， the balloons were filled immediately to seal the target vessel temporarily， and the efficacy was evaluated in real time. Results： All 92 patients undergoing elective surgery underwent ultrasound-guided temporary occlusion of bilateral common iliac arteries. The occlusion time was 8 to 32 minutes， and the average occlusion time was 19 minutes. Intraoperative blood losses ranged from 300 to 4 500 mL. 4 cases of postoperative refractory bleeding were treated with hysterectomy. All patients did not occur DIC， and Apgar score was 6 to 10 points at 1 minute of newborn. No maternal death occurred， but one premature infant （27+1 week） died 3 hours after surgery. Conclusion：Ultrasound-guided temporary balloon occlusion of the bilateral common iliac artery during PPP cesarean section is safe， reliable， simple， and fast. It can significantly reduce intraoperative bleeding， reduce the risk of surgery and has no X-ray radiation. It is worthy of promotion and application.

Key words:

"> ultrasound-guided">； balloon occlusion">； pernicious placenta previa">； bilateral common iliac artery

CLC Number:

R719.8

Zhang Guohui, Jin Yanling, Chen Kunqian, Li Fawang, Xie Kui, Chen Rong.

Clinical Application of Balloon Occlusion of Bilateral Common Iliac Artery in Patients with

Pernicious Placenta Previa under Ultrasound Guidance [J]. Journal of Dali University, 2021, 6(10): 56-.

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References

〔1〕徐金霞，刘福忠，吴兆晴，等.双侧髂内动脉球囊临时阻断术在凶险性前置胎盘剖宫产术中的应用〔J〕.东南大学学报（医学版），2017，36（6）：1019-1023.

〔2〕 SADASHIVAIAH J， WILSON R， THEIN A， et al. Role of Prophylactic Uterine Artery Balloon Catheters in the Management of Women with Suspected Placenta Accreta〔J〕. Int J Obstet Anesth，2011，20（4）：282-287.

〔3〕 CHER H T， TAY K H， SHEAH K， et al. Perioperative Endovascular Internal Iliac Artery Occlusion Balloon Placement in Management of Placenta Accreta〔J〕. Am J Roentgenol，2007，189（5）：1158-1163.

〔4〕 PANICI P B， ANCESCHI M， BORGIA M L， et al. Intraoperative Aorta Balloon Occlusion： Fertility Preser-vation in Patients with Placenta Previa Accreta/Increta〔J〕. J Matern Fetal Neonatal Med，2012，25（12）：2512-2516.

〔5〕尚建强.血管内介入在凶险性前置胎盘并胎盘植入患者剖宫产术中的应用〔J〕.山东大学学报（医学版），2016，54（9）：14-17.

〔6〕陈坤前，李发旺，朱恩全，等.超声导引球囊阻断术在13例凶险性前置胎盘剖宫产中的应用〔J〕.介入放射学杂志，2017，26（10）：915-917.

〔7〕谢幸，苟文丽.妇产科学〔M〕.8版.北京：人民卫生出版社，2013：126-129.

〔8〕蔡大军.完全穿透性凶险型前置胎盘23例临床诊治策略〔J〕.中国现代医生，2013，51（6）：136-137.

〔9〕吴晓兰，张丽华，黄梅，等.多学科协作治疗模式在凶险性前置胎盘中的临床应用研究〔J〕.现代预防医学，2018，45 （9）：1710-1713.

〔10〕孙艳秋，吴振兰.不同介入方法治疗凶险性前置胎盘伴胎盘植入的疗效比较〔J〕.中国现代医药杂志，2017，19 （3）：28-31.

〔11〕张德智，顾俊鹏，王永亮，等.临时腹主动脉球囊阻断在凶险性前置胎盘剖宫产术中的应用〔J〕.新疆医学，2017，47（5）：488-491.

〔12〕赖繁，王晓东，黄科，等.多学科协作下腹主动脉球囊阻断术在凶险性前置胎盘中的临床应用分析〔J〕.中国计划生育和妇产科，2018，10（4）：89-93.

〔13〕李艳，陈春梅，罗丹，等.介入术联合宫腔球囊在减少凶险性前置胎盘剖宫产术中出血的应用〔J〕.四川医学，2015，21（10）：1426-1429.

〔14〕中华医学会围产医学分会，中华医学会妇产科学分会产科学组.胎盘植入诊治指南（2015）〔J〕.中华围产医学杂志，2015（7）：481-485.

〔15〕王婷婷，史金凤，徐阳峰，等.双侧髂内动脉球囊预置术在凶险性前置胎盘合并胎盘植入治疗中的应用〔J〕.浙江医学，2017，16（23）：2152-2153.

〔16〕毛陇萍，闫春玲，张亚娜，等.预置球囊导管在凶险性前置胎盘伴胎盘植入治疗中的应用〔J〕.西南国防医药，2017，27（11）：1226-1228.

〔17〕杨厚林，唐仪，方主亭，等.腹主动脉阻断联合子宫动脉栓塞在九例前置胎盘并胎盘植入剖宫产手术中的应用〔J〕.介入放射学杂志，2013，22（12）：1036-1038.

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Clinical Application of Balloon Occlusion of Bilateral Common Iliac Artery in Patients with
Pernicious Placenta Previa under Ultrasound Guidance

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