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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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【References】
Chinese Journal Full-text Database 2 Hits
1 TONG Jiaomei;XU Zhen;LI Na;HUANG Shan;Department of Obstetrics,Huangshi Maternal and Children Health Care Hospital of East Hubei Medical Group;Department of Gynecology,Hubei Maternal and Children Health Care Hospital;;Observation on recovery of postpartum sexual function of pregnant woman with placenta previa combined with placenta implantation[J];中国性科学;2017-07
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【Co-references】
Chinese Journal Full-text Database 7 Hits
1 Cui Shihong;Zhi Yunxiao;Zhang Kai;Zhang Lindong;Shen Linna;Gao yanan;Department of Obstetrics,the Third Affiliated Hospital of Zhengzhou University;;Application of temporary balloon occlusion of the abdominal aorta in the treatment of complete placenta previa complicated with placenta accreta[J];中华妇产科杂志;2016-09
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
3 DAI Jianrong;HOU Shunyu;TAO Jianying;Department of Obstetrics, Suzhou Maternal and Child's Health Center, Suzhou Municipal Hospital;;A clinical study on prophylactic pelvic artery catheterization and embolization in women with placenta previa accreta in late gestation[J];临床与病理杂志;2015-07
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
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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】
Chinese Journal Full-text Database 1 Hits
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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