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

近年来凶险性前置胎盘发病率明显上升,分娩时可发生致命性大出血,子宫切除率高。为此,国内外医师探索剖宫产过程中联合腹主动脉球囊阻断术及双侧髂内动脉球囊阻断术,以控制术中风险,降低子宫切除率。这项技术目前尚在初期,对其价值及风险有待逐步认识。本文综述了腹主动脉球囊阻断术的发展过程,两类技术的优点及局限、并发症及预防。

Role of intravascular interventional therapy in cesarean section for pernicious placenta previa complicated with placenta accreta

In recent years, the incidence of pernicious placenta previa(PPP)has been on the rise, which seriously threatens women's life and health with severe hemorrhage and high rate of cesarean hysterectomia. To control the complications, intra-aortic balloon occlusion and internal iliac balloon occlusion have been adopted in the operation of cesarean for patients with PPP. However, these methods are still in the early stage, and further researches are needed to explore their value and risks. In this review we overviewed the development of intra-aortic balloon occlusion and internal iliac balloon occlusion, as well as their advantages, limitations, and complications.