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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Clinical application of prophylactic internal iliac artery balloon occlusion combined with uterine artery embolization in patients with abnormally invasive placenta
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Clinical application of prophylactic internal iliac artery balloon occlusion combined with uterine artery embolization in patients with abnormally invasive placenta

机译：预防性内髂动脉气球闭塞联合子宫动脉栓塞患者异常侵袭性胎盘的临床应用

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摘要

Background: 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.Methods: 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.Results: The mean estimated blood loss in the study group (800ml,500-1800ml) was less than that in the control group (1875ml, 500-7600ml) (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.Conclusion: Prophylactic balloon occlusion of internal iliac artery combined with UAE is effective and safe for patients with abnormally invasive placenta.
机译：背景：本研究的目的是探讨预防性内部髂动脉气球闭塞的作用与异常侵袭性胎盘患者的子宫动脉栓塞（UAE）联合起来。方法：回顾性地研究了我们医院的异常侵入性胎盘的四十个病例2014年5月至2015年9月。在研究组的研究组中有20个患有预防性气球闭塞的预防性气球闭塞的案例，而另一个20例对照组。在两组之间比较了估计损伤和输血量，子宫切除术，手术持续时间，术后并发症和住院时间的速度。结果：研究组的平均估计失血（800ml，500-1800ml）小于那个在对照组（1875ml，500-7600ml）（p = .01）。在研究组中只有两种病例，而对照组12例。在研究组中没有进行子宫切除术，而一种情况下对照组进行了操作。手术持续时间，术后并发症和两组住院时间没有显着差异。结论：预防性气球闭合内髂动脉与阿联酋联合患者对异常侵袭性胎盘的患者有效和安全。

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