Effectiveness and safety of balloon occlusion in distal abdominal aorta for parturient women with pernicious placenta previa(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2018年第4期
- Page:
- 485-488
- Research Field:
- 其他（激光医学等）
- Publishing date:
Info
- Title:
- Effectiveness and safety of balloon occlusion in distal abdominal aorta for parturient women with pernicious placenta previa
- Author(s):
- LIU Guiyu; WEI Guirong; QIN Dongling
- Department of Obstetrics, the First Affiliated Hospital of Guangxi University of Science and Technology, Liuzhou 545002, China
- Keywords:
- ; pernicious placenta previa; distal abdominal aorta; balloon; perinatal complications; newborn Apgar score
- PACS:
- R714.7
- DOI:
- DOI:10.3969/j.issn.1005-202X.2018.04.021
- Abstract:
- Objective To study the effectiveness and safety of balloon occlusion in distal abdominal aorta before the caesarean section for parturient woman with pernicious placenta previa. Methods A total of 68 consecutive parturient women diagnosed with pernicious placenta previa between May 2012 and May 2017 were enrolled and then randomly divided into control group and observation group, with 34 cases in each group. The patients in control group received only caesarean section, while those in observation group were treated with balloon occlusion in distal abdominal aorta before caesarean section. The differences in pregnancy outcomes were compared. Results The amount of bleeding and red blood cell suspension infusion in observation group were significantly lower than those in control group. The incidences of urinary tract and intestinal injury, hysterectomy, infection, acute renal failure in observation group were 5.9% (2/34), 2.9% (1/34), 5.9% (2/34) and 2.9% (1/34), respectively, significantly lower than 23.5% (8/34), 17.6% (6/34), 26.5% (9/34) and 20.6% (7/34) in control group, with statistically significant differences (P<0.05). The comparison between two groups didn’t showed any statistical differences in mortality and the incidence of hemoperitoneum (P>0.05). The 1-min and 5-min Apgar scores of the newborns in observation group was significantly higher than those in control group (P<0.05). Followed-up for 6 months after caesarean section, in operation group, 1 case of postpartum hemorrhage were improved after conservative treatment, and 1 case was infected and then cured by active and effective antibiotics, and 3 cases had lower extremity arteriovenous thrombosis, without developing any severe ischemic necrosis of the lower extremities or venous thrombosis. The duration of preoperative intervention was 1-5 min, with an average of (2.3±0.9) min, and the total amount of radiotherapy dose was 45-95 mGy, with an average of (78.4±16.3) mGy. Conclusion Applying balloon occlusion in distal abdominal aorta before the caesarean section for parturient woman with pernicious placenta previa is proved to be effective and safe.
Last Update: 2018-04-23