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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Adjunctive intrauterine Foley’s Catheter Balloon adding to hypogastric artery ligation in the conservative management of morbid adherent placenta previa
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Adjunctive intrauterine Foley’s Catheter Balloon adding to hypogastric artery ligation in the conservative management of morbid adherent placenta previa

机译：辅助宫腔内Foley's导管球囊增加胃下动脉结扎术对病态粘连前置胎盘的保守治疗

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Background: Objective of present study was to demonstrate the efficacy of Foley’s catheters balloon tamponade as an adjuvant to control blood loss during and after a caesarian section in patient undergone hypogastric artery ligation (HAL) due to morbid adherent placenta previa (MAPP). Methods: A single-center retrospective case-control clinical trial was carried out in a tertiary university hospital between March 2015 and March 2018, 124 women were undergoing cesarean delivery for MAPP, were managed conservatively either with HAL or HAL plus inflated Intrauterine Foley’s Catheter Balloon to control post-partum hemorrhage secondary to MAPP. In the case of conservative treatment protocol failure, cesarean hysterectomy was performed. Results: 124 women were enrolled (n=62 in each group). group of women received HAL plus Intrauterine Foley’s Catheter Balloon (group II)) showed a significant reduction in intraoperative and 4 hours post-operative blood loss compared with (Group I) which received HAL without Intrauterine Foley’s Catheter Balloon. (P = 0.0001,0.0.015), so the overall estimated blood loss in group II showed significant reduction compared with group I (P = 0.0001). Conclusions: Adjunctive intrauterine Foley's catheter balloon adding to HAL ligation in the management of MAPP is a novel combination approach have proved to be effective to control of intraoperative and PPH and to preserve the uterus as possible and change in the concept of MAPP management always mandates hysterectomy. And may become an alternative valid option to planned cesarean-hysterectomy in well-selected cases who have a strong desire for future fertility.
机译：背景：本研究的目的是证明Foley导管球囊填塞术作为控制因病态粘连前置胎盘（MAPP）进行下胃动脉结扎术（HAL）的剖腹产期间和术后失血的佐剂的功效。方法：2015年3月至2018年3月间，在一家三级大学医院进行了单中心回顾性病例对照临床试验，对124例因MAPP剖宫产的妇女进行了剖宫产，采用HAL或HAL联合充气的宫腔内Foley导管球囊进行保守治疗控制继发于MAPP的产后出血。在保守治疗方案失败的情况下，进行剖宫产子宫切除术。结果：招募了124名妇女（每组n = 62）。接受HAL加宫腔内Foley导管球囊治疗的女性（第二组）与未接受宫腔内Foley导管球囊治疗的HAL的（组I）相比，术中和术后4小时失血明显减少。 （P = 0.0001,0.0.015），因此与I组相比，II组的总体估计失血量明显减少（P = 0.0001）。结论：辅助子宫内Foley导管球囊加HAL结扎术可治疗MAPP是一种新颖的联合治疗方法，可有效控制术中和PPH，并尽可能保留子宫，改变MAPP治疗的概念始终要求行子宫切除术。在对将来的生育能力有强烈需求的精心挑选的病例中，它可能成为计划剖宫产子宫切除术的替代有效选择。

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