지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 18 - 25 (8page)
이용수
초록· 키워드
오류제보하기
Objective: Prophylactic trans-catheter arterial balloon occlusion (PTABO) before cesarean section of placenta previa totalis has been introduced to prevent massive hemorrhage. The purpose of this study is to evaluate the clinical usefulness of PTABO in cases of suspected placental adhesion and to examine antepartal risk factors and perinatal outcomes in women with placental adhesion.
Methods: Between January 2012 and December 2015, 77 patients who had undergone ultrasonography for evaluation of placenta previa were enrolled in this study. Seventeen of these patients with suspected placental adhesion by ultrasonography and Pelvic MRI underwent PTABO before cesarean section and another 59 patients underwent cesarean section without PTABO. Antepartal risk factors and peripartum maternal and neonatal outcomes were compared between patients with PTABO and those without PTABO.
Results: More advanced maternal age, longer in gestational weeks at delivery, and more common previous cesarean section history were observed in the PTABO group. Placenta adhesion, abnormal Doppler findings, and frequency of transfusion were more common in the PTABO group. However there was no significant difference in estimated blood loss, hospital days, and neonatal outcome. It had occurred 3 cases of hysterectomy and 1 case of uterine artery embolization after cesarean section in the PTABO group.
Conclusion: Close surveillance of antepartum risk factors for placental adhesion using ultrasonography and pelvic magnetic resonance imaging is important to prevention of massive hemorrhage during cesarean section. PTABO before cesarean section might result in reduced blood loss and requirement for transfusion during the operation.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Ballas J / 2012 / Preoperative intravascular balloon catheters and surgical outcomes in pregnancies complicated by placenta accreta: a management paradox / Am J Obstet Gynec
Bodner LJ / 2006 / Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta / Cardiovasc Intervent Radiol 29 : 354 ~ 361
Cali G / 2014 / Prophylactic use of intravascular balloon catheters in women with placenta accreta, increta and percreta / Eur J Obstet Gynecol Reprod Biol 179 : 36 ~ 41
Clausen C / 2014 / Management of placenta percreta: a review of published cases / Acta Obstet Gynecol Scand 93 : 138 ~ 143
Dilauro MD / 2012 / Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta: literature review and analysis / Clin Radiol 67 : 515 ~ 520
Bodner LJ / 2006 / Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta / Cardiovasc Intervent Radiol 29 : 354 ~ 361
Cali G / 2014 / Prophylactic use of intravascular balloon catheters in women with placenta accreta, increta and percreta / Eur J Obstet Gynecol Reprod Biol 179 : 36 ~ 41
Clausen C / 2014 / Management of placenta percreta: a review of published cases / Acta Obstet Gynecol Scand 93 : 138 ~ 143
Dilauro MD / 2012 / Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta: literature review and analysis / Clin Radiol 67 : 515 ~ 520
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