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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Preoperative intravascular balloon catheters and surgical outcomes in pregnancies complicated by placenta accreta: A management paradox
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Preoperative intravascular balloon catheters and surgical outcomes in pregnancies complicated by placenta accreta: A management paradox

机译：妊娠合并胎盘早剥的术前血管内球囊导管和手术结局：管理悖论

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Objective: The objective of the study was to compare outcomes between patients who did and did not receive preoperative uterine artery balloon catheters in the setting placenta accreta. Study Design: This was a retrospective case-control study of patients with placenta accreta from 1990 to 2011. Results: Records from 117 patients with pathology-proven accreta were reviewed. Fifty-nine patients (50.4%) had uterine artery balloons (UABs) placed preoperatively. The mean estimated blood loss (EBL) was lower (2165 mL vs 2837 mL; P =.02) for the group that had UABs compared with the group that did not. There were more cases with an EBL greater than 2500 mL and massive transfusions of packed red blood cells (>6 units) in the group that did not have UABs. Percreta was diagnosed more often on final pathology in the group with UABs. Surgical times did not differ between the 2 groups. Two patients (3.3%) had complications related to the UABs. Conclusion: Preoperative placement of UABs is relatively safe and is associated with a reduced EBL and fewer massive transfusions compared with a group without UABs.
机译：目的：本研究的目的是比较在放置胎盘时是否接受术前子宫动脉球囊导管的患者之间的结局。研究设计：这是一项回顾性病例对照研究，研究对象为1990年至2011年间胎盘植入的患者。结果：回顾了117例经病理证实的植入患者的记录。术前有59例（50.4％）子宫动脉球囊（UAB）放置。与没有UAB的组相比，具有UAB的组的平均估计失血量（EBL）更低（2165 mL vs 2837 mL; P = .02）。在没有UAB的组中，更多的病例是EBL大于2500 mL，大量红细胞（> 6个单位）被输血。在UAB组中，更常见于最终病理学诊断为Percreta。两组的手术时间无差异。两名患者（3.3％）患有与UAB相关的并发症。结论：与没有UAB的组相比，术前放置UAB相对安全，并且与EBL减少和大量输血相关。

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