| 应用复合手术室治疗凶险性前置胎盘并胎盘植入的临床分析 |
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| 引用本文： | 刘现闯,任静,邱忠华,刘松,鲍志宇,胡蒙,王璇,乔元岗.应用复合手术室治疗凶险性前置胎盘并胎盘植入的临床分析[J].医学影像学杂志,2019(7):1191-1194. |
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| 作者姓名： | 刘现闯 任静 邱忠华 刘松 鲍志宇 胡蒙 王璇 乔元岗 |
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| 作者单位： | 济宁医学院附属医院介入治疗科;济宁医学院附属医院产科 |
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| 摘 要： | 目的探讨应用复合手术室在凶险性前置胎盘并胎盘植入的治疗经验。方法回顾性分析应用复合手术室治疗30例凶险性前置胎盘并胎盘植入的产妇病例资料,手术方案采用“一站式”腹主动脉球囊阻断辅助剖宫产术。记录术中出血量、输血量、子宫切除例数、球囊阻断时间、孕妇接受射线剂量及相关并发症等。结果30例患者成功接受手术,29例术前置入球囊,1例行子宫切除术。18例出血量在500ml以内,500~1000ml5例,1000~1500ml3例,2000ml左右的2例,1例患者出血量约5000ml,平均出血量(843±934)ml。仅对术中出血大于2000ml的4例产妇给与输血,平均输注红细胞(2100±1321)ml。球囊阻断时间以及胎儿的平均辐射剂量分别为(20.4±5.2)min,(18.2±5.9)mGy。无产妇及胎儿死亡,无介入相关的严重并发症发生。结论应用复合手术室治疗凶险性前置胎盘并胎盘植入安全有效,能显著降低术中出血量及子宫切除率,是今后发展的方向。
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| 关 键 词： | 凶险性前置胎盘 胎盘植入 剖宫产 介入放射学 |
Clinical efficacy of hybrid operation room for treatment of placenta previa complicated with placenta accrete |
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| LIU Xianchuang,REN Jing,QIU Zhonghua,LIU Song,BAO Zhiyu,HU Meng,WANG Xuan,QIAO Yuangang.Clinical efficacy of hybrid operation room for treatment of placenta previa complicated with placenta accrete[J].Journal of Medical Imaging,2019(7):1191-1194. |
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| Authors: | LIU Xianchuang REN Jing QIU Zhonghua LIU Song BAO Zhiyu HU Meng WANG Xuan QIAO Yuangang |
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| Institution: | (Interventional Therapy Department,The Affiliated Hospital of Jining Medical University,Jining 272000,P.R.China;Maternity of Department,The Affiliated Hospital of Jining Medical University,Jining 272000,P.R.China) |
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| Abstract: | LIU Xianchuang;REN Jing;QIU Zhonghua;LIU Song;BAO Zhiyu;HU Meng;WANG Xuan;QIAO Yuangang(Interventional Therapy Department,The Affiliated Hospital of Jining Medical University,Jining 272000,P.R.China;Maternity of Department,The Affiliated Hospital of Jining Medical University,Jining 272000,P.R.China) |
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| Keywords: | Abdominal aorta occlusion Pernicious placenta previa Placenta accrete Cesarean section |
| 本文献已被 CNKI 维普 等数据库收录！ |
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