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《Journal of Clinical and Pathological Research》 2015-07
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A clinical study on prophylactic pelvic artery catheterization and embolization in women with placenta previa accreta in late gestation

DAI Jianrong;HOU Shunyu;TAO Jianying;Department of Obstetrics, Suzhou Maternal and Child's Health Center, Suzhou Municipal Hospital;  
Objective: The purpose of this study was to describe the use of a staged procedure that involved femoral artery catheterization, cesarean section delivery, uterine and placental embolization, and placenta removal as possible as we can for placenta previa accreta in order to prevent from hysterectomy. Methods: The current study includes 22 patients diagnosed as placenta previa accreta identified histologically after operation or confirmed by doctors through ultrasound results before operation and the findings during operation. Six patients underwent femoral artery catheterization before C-section. Artery embolization was conducted right away after the babies were delivered. Five patients had residual placenta tissues, receiving MTX therapy after operation. Other 16 patients underwent traditional methods, they failed and hysterectomy or cesarean-hysterectomy. Results: Twenty-two cases of placenta previa accreta were identified histologically or diagnosed by doctors who performed the surgery. Six cases successfully underwent prophylactic pelvic artery catheterization and embolization, the uteri were preserved. These cases had significant reductions in blood loss(2 300 vs. 5 375 m L; P=0.0004), units of MAP transfused(8 vs. 16.66; P=0.0108), the amount of plasma transfused(800 vs. 1 375 m L, P=0.0135). The total operation time was no different between the two groups. There were non-significant reductions in admission to the intensive care unit and length of hospital stay. Conclusion: We found that the successful use of prophylactic pelvic artery catheterization and embolization C-section procedure for placenta previa accreta is associated with decreased maternal morbidity and successfully preserved patient's uteri.
【CateGory Index】: R714.462
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2 Li Qin;Deng Xuedong;Wang Zhongyang;Lu Bing;Zhang Lili;Shen Jianqiu;Bian Min;Center of Medical Ultrasound, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital;Department of Ultrasound, Taizhou People′s Hospital;;The prenatal ultrasonic diagnosis of pernicious placenta previa disease complex with placentaim plantation[J];中华医学超声杂志(电子版);2016-03
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4 HE Li-dan;CHEN Li-hong;HU Ji-fen;CHEN Yi-ping;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Fujian Medical University;Department of Interventional Radiology,the First Affiliated Hospital of Fujian Medical University;;Therapeutic effect of prophylactic distal abdominal aorta balloon occlusion before caesarean section for treating placenta implantation[J];中国介入影像与治疗学;2015-06
5 Tao Chunmei;Li Yingtao;Cheng Cheng;Huang Bei;Zhong Liuyin;Department of Obstetric,Shenzhen Shajing Affiliated Hospital of Guangzhou Medical College;;Investigate the Clinical Characteristics of Applying Hysterectomy in 27Cases with Placenta Previa and Accrete[J];中华妇幼临床医学杂志(电子版);2014-01
6 SHI Huafang,PI Pixiang,DING Yiling (Department of Gynecology and Obstetrics,Second Xiangya Hospital,Cental South University,Changsha 410011,China);Diagnosis of placenta previa accreta by two dimensional ultrasonography and color doppler in patients with cesarean section[J];中南大学学报(医学版);2012-09
7 LI Ya-cen,YE Cai-mei,LIANG Zheng,FANG Peng,XU Xin-fen;Observation and nursing of complications in 59 pregnant women with dangerous placenta previa[J];中华护理杂志;2011-05
【Secondary References】
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1 FANG Xiao-jun;YE Qun-sheng;The People's Hospital of Yuepuhu County;;Maternal Complications after Cesarean Section in Uygur Women: a Report of 48 Cases[J];智慧健康;2018-08
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