Mei Youwen, Luo Dan, Lin Yonghong
a Chengdu's Women and Children's Central Hospital , Chengdu , China.
J Matern Fetal Neonatal Med. 2018 Dec;31(24):3287-3292. doi: 10.1080/14767058.2017.1368485. Epub 2017 Aug 30.
The purpose of this study is to investigate the role of prophylactic internal iliac artery balloon occlusion combined with uterine artery embolization (UAE) in patients with abnormally invasive placenta.
Forty cases with abnormally invasive placenta who visited our hospital were analyzed retrospectively from May 2014 to September 2015. Twenty cases who had prophylactic balloon occlusion of internal iliac artery with/without UAE were in the study group, while the other 20 cases in the control group. Volume of estimated blood loss and blood transfusion, rate of hysterectomy, surgery duration, postoperative complication and length of hospitalization were compared between two groups.
The mean estimated blood loss in the study group (800 ml,500-1800 ml) was less than that in the control group (1875 ml, 500-7600 ml) (p = .01). Only two cases had blood transfusion in the study group, while 12 cases in the control group. No case was performed hysterectomy in the study group, while one case had the operation in the control group. There was no significant difference in surgery duration, postoperative complications and length of hospitalization between two groups.
Prophylactic balloon occlusion of internal iliac artery combined with UAE is effective and safe for patients with abnormally invasive placenta.
本研究旨在探讨预防性髂内动脉球囊阻断联合子宫动脉栓塞术（UAE）在胎盘植入异常患者中的作用。
回顾性分析2014年5月至2015年9月在我院就诊的40例胎盘植入异常患者。研究组20例采用预防性髂内动脉球囊阻断联合/不联合UAE治疗，对照组20例。比较两组患者的估计失血量、输血量、子宫切除率、手术时间、术后并发症及住院时间。
研究组平均估计失血量为800ml（500 - 1800ml），少于对照组的1875ml（500 - 7600ml）（p = 0.01）。研究组仅2例输血，对照组12例。研究组无子宫切除病例，对照组1例。两组手术时间、术后并发症及住院时间差异无统计学意义。
预防性髂内动脉球囊阻断联合UAE治疗胎盘植入异常患者有效且安全。
