凶险性前置胎盘球囊阻断术的应用与副损伤
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摘要
随着剖宫产率的上升,凶险性前置胎盘的发生率随之上升,伴随而来的是并发症的增多。目前介入治疗在产科中尤其是产后出血中的应用越来越多,也会导致相应的并发症,如穿刺部位损伤、血管损伤、血栓形成等。文章着重叙述球囊阻断术的并发症。
As the rate of cesarean section increases,the incidence of pernicious placenta previa increases,and risk of complications also increases.At present,interventional therapy in obstetrics,especially postpartum hemorrhage,has a wide range of application,which may lead to corresponding complications such as puncture site damage,vascular injury,thrombosis,etc.This article focuses on the complications of prophylactic balloon occlusions.
As the rate of cesarean section increases,the incidence of pernicious placenta previa increases,and risk of complications also increases.At present,interventional therapy in obstetrics,especially postpartum hemorrhage,has a wide range of application,which may lead to corresponding complications such as puncture site damage,vascular injury,thrombosis,etc.This article focuses on the complications of prophylactic balloon occlusions.
引文
[1]黄醒华.对剖宫产术的思考[J].中国实用妇科与产科杂志,2003,19(7):385-388.
[2]Lumbiganon P,Laopaiboon M,Gülmezoglu AM,et al.Method of delivery and pregnancy outcomes in Asia:the WHO global survey on maternal and perinatal health 2007-08[J].Lancet,2010,375(9713):490-499.
[3]Liu S,Liston RM,Joseph KS,et al.Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term[J].CMAJ,2007,62(4):455-460.
[4]廖予妹,耿正惠.中国剖宫产现状及其远期影响[J].中国实用妇科与产科杂志,2010,26(8):630-632.
[5]Machado LSM.Emergency peripartum hysterectomy:incidence,indications,risk factors and outcome[J].North Am J Med Sci,2011,3(8):358-361.
[6]Heaston DK,Mineau DE,Brown BJ,et al.Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation[J].Ajr Am J Roentgenol,1979,133(1):152-154.
[7]Carnevale FC,Kondo MM,de Oliveira SW Jr,et al.Perioperative temporary occlusion of the internal iliac arteries as prophylaxis in cesarean section at risk of hemorrhage in placenta accreta[J].Cardiovasc Intervent Radiol,2011,34(4):758-764.
[8]綦小蓉,彭鸿灵,刘兴会.球囊阻断术在胎盘异常附着中的应用[J].实用妇产科杂志,2015,31(12):908-911.
[9]尚建强.血管内介入在凶险性前置胎盘并胎盘植入患者剖宫产术中的应用[J].山东大学学报:医学版,2016,54(9):14-17.
[10]Paull JD,Smith J,Williams L,et al.Balloon occlusion of the abdominal aorta during caesarean hysterectomy for placenta percreta[J].AnaesthIntens Care,1995,23(6):731.
[11]Dubois J,Garel L,Grignon A,et al.Placenta percreta:balloon occlusion and embolization of the internal iliac arteries to reduce intraoperative blood losses[J].Am J Obstet Gynecol,1997,176(3):723-726.
[12]Levine AB,Kuhlman K,Bonn J.Placenta accreta:comparison of cases managed with and without pelvic artery balloon catheters[J].J Matern Fetal Med,1999,8(4):173-176.
[13]Panici PB,Anceschi M,Borgia ML,et al.Intraoperative aorta balloon occlusion:fertility preservation in patients with placenta previa accreta/increta[J].J Matern Fetal Neonatal Med,2012,25(12):2512-2516.
[14]Dilauro MD,Dason S,Athreya S.Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta:literature review and analysis[J].Clin Radiol,2012,67(6):515-520.
[15]曲度,曲强,张弦,等.腹主动脉阻断术临床原理及其上中下段安全时限探讨--兼述缺血再灌注损伤机制与对策及二叉树耐受法则[J].海南医学,2009,20(1):1-13.
[16]Luo Y,Duan H,Liu W,et al.Clinical evaluation for lower abdominal aorta balloon occluding in the pelvic and sacral tumor resection[J].J Surg Oncol,2013,108(3):148-151.
[17]Clausen C,Stensballe J,Albrechtsen CK,et al.Balloon occlusion of the internal iliac arteries in the multidisciplinary management of placenta percreta[J].Acta Obstet Gynecol Scand,2013,92(4):386-391.
[18]綦小蓉,刘兴会,游泳,等.髂内动脉球囊阻断术在凶险性前置胎盘中的应用价值[J].四川大学学报(医学版),2016,47(4):618-623.
[19]卢敏,吴宁,黄珊萍,等.髂内动脉球囊临时阻断技术在凶险性前置胎盘围手术期的应用[J].中国妇幼保健,2016,31(12):2446-2449.
[20]Teixidor VM,Chandraharan E,Moneta MV,et al.The role of interventional radiology in reducing haemorrhage and hysterectomy following caesarean section for morbidly adherent placenta[J].Clin Radiol,2014,69(8):e345-351.
[21]Onal B,Kosar S,Gumus T,et al.Postcatheterization femoral arteriovenous fistulas:endovascular treatment with stentgrafts[J].Cardiovasc Intervent Radiol,2004,27(5):453-458.
[22]TsetisD.Endovascular treatment of complications of femoral arterial access[J].Cardiovasc Intervent Radiol,2010,33(3):457-468.
[23]杨培根.医源性假性动脉瘤的研究进展[J].医学综述,2014,20(13):2378-2380.
[24]Geyik S,Yavuz K,Akgoz A,et al.The safety and efficacy of the Angio-Seal closure device in diagnostic and interventional neuroangiography setting:a single-center experience with 1,443 closures[J].Neuroradiol,2007,49(9):739-746.
[25]刘冰,单鹏.血管损伤后假性动脉瘤形成机制及诊疗原则[J].中国实用外科杂志,2014,34(12):1200-1202.
[26]Ahmad F,Turner SA,Torrie P,et al.Iatrogenic femoral artery pseudoaneurysms--a review of current methods of diagnosis and treatment[J].Clin Radiol,2008,63(12):1310-1316.
[27]赵海光,蒋米尔.医源性血管损伤的预防和治疗[J].中国实用外科杂志,2006,26(10):804-806.
[28]Kalapatapu V,Shelton K,Ali A,et al.Pseudoaneurysm:a review[J].Curr Treatment Options Cardiovasc Med,2008,10(2):173-183.
[29]郭金成,华琦.医源性假性动脉瘤的诊断与治疗[J].中国医学影像技术,2003,19(7):933-935.
[30]Kobeiter H,Lapeyre M,Becquemin JP,et al.Percutaneous coil embolization of postcatheterization arterial femoral pseudoaneurysms[J].J Vasc Surg,2002,36(1):127-131.
[31]Kelm M,Perings SM,Jax T,et al.Incidence and clinical outcome of iatrogenic femoral arteriovenous fistulas:implications for risk stratification and treatment[J].J Am Coll Cardiol,2002,40(2):291-297.
[32]梁思渊,刘晓兵,牟永华,等.医源性股动静脉瘘6例诊治体会[J].中国实用外科杂志,2010,27(12):1044-1045.
[33]Greenberg JI,Suliman A,Iranpour P,et al.Prophylactic balloon occlusion of the internal iliac arteries to treat abnormal placentation:a cautionary case[J].Am J Obstet Gynecol,2007,197(5):470.
[34]赵杰,杨立民,张震,等.介入溶栓与动脉取栓术治疗急性下肢动脉缺血疗效对比[J].昆明医科大学学报,2015,36(11):133-135.
[35]叶国栋,谭树平,李鹏,等.复合手术室的发展现状与应用[J].中国医疗设备,2012,27(7):110-112.
[36]ACOG Committee on Obstetric Practice.ACOG Committee Opinion.Number 299,September 2004(replaces No.158,September 1995).Guidelines for diagnostic imaging during pregnancy[J].Obstet Gynecol,2004,104(3):647-651.
[37]Kneale GW.Risk of childhood cancer from fetal irradiation[J].Br J Radiol,1998,71(844):460-461.
[38]Kai K,Hamada T,Yuge A,et al.Estimating the radiation dose to the fetus in prophylactic internal lliac artery balloon occlusion:three cases[J].Case Reports in Obstet Gynecol,2015,15:1-7.
[39]Bodner LJ,Nosher JL,Gribbin C,et al.Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta[J].Cardiovasc Intervent Radiol,2006,29(3):354-361.
[40]张伟.前置胎盘剖宫产术中髂内动脉栓塞与低位腹主动脉球囊阻断比较研究[J].介入放射学杂志,2018,27(4):322-326.
[41]Teare J,Evans E,Belli A,et al.Sciatic nerve ischaemia after iliac artery occlusion balloon catheter placement for placenta percreta[J].Int J Obstet Anesth,2014,23(2):178-181.
[42]The 2007 Recommendations of the International Commission on Radiological Protection.ICRP publication 103[J].Ann ICRP,2007,37(2-4):321-332.(2018-10-11收稿)
[2]Lumbiganon P,Laopaiboon M,Gülmezoglu AM,et al.Method of delivery and pregnancy outcomes in Asia:the WHO global survey on maternal and perinatal health 2007-08[J].Lancet,2010,375(9713):490-499.
[3]Liu S,Liston RM,Joseph KS,et al.Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term[J].CMAJ,2007,62(4):455-460.
[4]廖予妹,耿正惠.中国剖宫产现状及其远期影响[J].中国实用妇科与产科杂志,2010,26(8):630-632.
[5]Machado LSM.Emergency peripartum hysterectomy:incidence,indications,risk factors and outcome[J].North Am J Med Sci,2011,3(8):358-361.
[6]Heaston DK,Mineau DE,Brown BJ,et al.Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation[J].Ajr Am J Roentgenol,1979,133(1):152-154.
[7]Carnevale FC,Kondo MM,de Oliveira SW Jr,et al.Perioperative temporary occlusion of the internal iliac arteries as prophylaxis in cesarean section at risk of hemorrhage in placenta accreta[J].Cardiovasc Intervent Radiol,2011,34(4):758-764.
[8]綦小蓉,彭鸿灵,刘兴会.球囊阻断术在胎盘异常附着中的应用[J].实用妇产科杂志,2015,31(12):908-911.
[9]尚建强.血管内介入在凶险性前置胎盘并胎盘植入患者剖宫产术中的应用[J].山东大学学报:医学版,2016,54(9):14-17.
[10]Paull JD,Smith J,Williams L,et al.Balloon occlusion of the abdominal aorta during caesarean hysterectomy for placenta percreta[J].AnaesthIntens Care,1995,23(6):731.
[11]Dubois J,Garel L,Grignon A,et al.Placenta percreta:balloon occlusion and embolization of the internal iliac arteries to reduce intraoperative blood losses[J].Am J Obstet Gynecol,1997,176(3):723-726.
[12]Levine AB,Kuhlman K,Bonn J.Placenta accreta:comparison of cases managed with and without pelvic artery balloon catheters[J].J Matern Fetal Med,1999,8(4):173-176.
[13]Panici PB,Anceschi M,Borgia ML,et al.Intraoperative aorta balloon occlusion:fertility preservation in patients with placenta previa accreta/increta[J].J Matern Fetal Neonatal Med,2012,25(12):2512-2516.
[14]Dilauro MD,Dason S,Athreya S.Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta:literature review and analysis[J].Clin Radiol,2012,67(6):515-520.
[15]曲度,曲强,张弦,等.腹主动脉阻断术临床原理及其上中下段安全时限探讨--兼述缺血再灌注损伤机制与对策及二叉树耐受法则[J].海南医学,2009,20(1):1-13.
[16]Luo Y,Duan H,Liu W,et al.Clinical evaluation for lower abdominal aorta balloon occluding in the pelvic and sacral tumor resection[J].J Surg Oncol,2013,108(3):148-151.
[17]Clausen C,Stensballe J,Albrechtsen CK,et al.Balloon occlusion of the internal iliac arteries in the multidisciplinary management of placenta percreta[J].Acta Obstet Gynecol Scand,2013,92(4):386-391.
[18]綦小蓉,刘兴会,游泳,等.髂内动脉球囊阻断术在凶险性前置胎盘中的应用价值[J].四川大学学报(医学版),2016,47(4):618-623.
[19]卢敏,吴宁,黄珊萍,等.髂内动脉球囊临时阻断技术在凶险性前置胎盘围手术期的应用[J].中国妇幼保健,2016,31(12):2446-2449.
[20]Teixidor VM,Chandraharan E,Moneta MV,et al.The role of interventional radiology in reducing haemorrhage and hysterectomy following caesarean section for morbidly adherent placenta[J].Clin Radiol,2014,69(8):e345-351.
[21]Onal B,Kosar S,Gumus T,et al.Postcatheterization femoral arteriovenous fistulas:endovascular treatment with stentgrafts[J].Cardiovasc Intervent Radiol,2004,27(5):453-458.
[22]TsetisD.Endovascular treatment of complications of femoral arterial access[J].Cardiovasc Intervent Radiol,2010,33(3):457-468.
[23]杨培根.医源性假性动脉瘤的研究进展[J].医学综述,2014,20(13):2378-2380.
[24]Geyik S,Yavuz K,Akgoz A,et al.The safety and efficacy of the Angio-Seal closure device in diagnostic and interventional neuroangiography setting:a single-center experience with 1,443 closures[J].Neuroradiol,2007,49(9):739-746.
[25]刘冰,单鹏.血管损伤后假性动脉瘤形成机制及诊疗原则[J].中国实用外科杂志,2014,34(12):1200-1202.
[26]Ahmad F,Turner SA,Torrie P,et al.Iatrogenic femoral artery pseudoaneurysms--a review of current methods of diagnosis and treatment[J].Clin Radiol,2008,63(12):1310-1316.
[27]赵海光,蒋米尔.医源性血管损伤的预防和治疗[J].中国实用外科杂志,2006,26(10):804-806.
[28]Kalapatapu V,Shelton K,Ali A,et al.Pseudoaneurysm:a review[J].Curr Treatment Options Cardiovasc Med,2008,10(2):173-183.
[29]郭金成,华琦.医源性假性动脉瘤的诊断与治疗[J].中国医学影像技术,2003,19(7):933-935.
[30]Kobeiter H,Lapeyre M,Becquemin JP,et al.Percutaneous coil embolization of postcatheterization arterial femoral pseudoaneurysms[J].J Vasc Surg,2002,36(1):127-131.
[31]Kelm M,Perings SM,Jax T,et al.Incidence and clinical outcome of iatrogenic femoral arteriovenous fistulas:implications for risk stratification and treatment[J].J Am Coll Cardiol,2002,40(2):291-297.
[32]梁思渊,刘晓兵,牟永华,等.医源性股动静脉瘘6例诊治体会[J].中国实用外科杂志,2010,27(12):1044-1045.
[33]Greenberg JI,Suliman A,Iranpour P,et al.Prophylactic balloon occlusion of the internal iliac arteries to treat abnormal placentation:a cautionary case[J].Am J Obstet Gynecol,2007,197(5):470.
[34]赵杰,杨立民,张震,等.介入溶栓与动脉取栓术治疗急性下肢动脉缺血疗效对比[J].昆明医科大学学报,2015,36(11):133-135.
[35]叶国栋,谭树平,李鹏,等.复合手术室的发展现状与应用[J].中国医疗设备,2012,27(7):110-112.
[36]ACOG Committee on Obstetric Practice.ACOG Committee Opinion.Number 299,September 2004(replaces No.158,September 1995).Guidelines for diagnostic imaging during pregnancy[J].Obstet Gynecol,2004,104(3):647-651.
[37]Kneale GW.Risk of childhood cancer from fetal irradiation[J].Br J Radiol,1998,71(844):460-461.
[38]Kai K,Hamada T,Yuge A,et al.Estimating the radiation dose to the fetus in prophylactic internal lliac artery balloon occlusion:three cases[J].Case Reports in Obstet Gynecol,2015,15:1-7.
[39]Bodner LJ,Nosher JL,Gribbin C,et al.Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta[J].Cardiovasc Intervent Radiol,2006,29(3):354-361.
[40]张伟.前置胎盘剖宫产术中髂内动脉栓塞与低位腹主动脉球囊阻断比较研究[J].介入放射学杂志,2018,27(4):322-326.
[41]Teare J,Evans E,Belli A,et al.Sciatic nerve ischaemia after iliac artery occlusion balloon catheter placement for placenta percreta[J].Int J Obstet Anesth,2014,23(2):178-181.
[42]The 2007 Recommendations of the International Commission on Radiological Protection.ICRP publication 103[J].Ann ICRP,2007,37(2-4):321-332.(2018-10-11收稿)