摘要
随着介入放射学的发展,动脉内球囊暂时阻断技术在胎盘植入产妇剖宫产术中得到广泛应用,能有效减少术中出血量及降低子宫切除率。但是目前国内对于阻断血流位置及具体操作方式尚无统一认知。本共识聚焦适应证的选择、技术方法选择、术中操作以及相应并发症的处理等事项,汇聚国内介入科、产科、影像科等多学科相关专家意见及建议,系统阐述胎盘植入产妇剖宫产术中球囊暂时阻断血流的相关经验,旨在规范球囊暂时阻断技术的操作、提高基层医院球囊阻断技术的应用率以及降低相关并发症的发生率。
With the development of interventional radiology technology,the temporary intravascular balloon occlusion technique has been widely used in cesarean section for pregnant women with placenta implantation,which can effectively reduce the amount of intraoperative blood loss and,thus,reduce the clinical need for a hysterectomy.However,there is no well recognized opinion about the site and specific operation mode of blocking blood flow in the medicial field of China so far.This consensus makes a systemic and comprehensive summary of the temporary intravascular balloon occlusion technique,focusing on the selection of indications,technical methods,intraoperative manipulation,management of the procedure-related complications.In this consensus,the opinions and suggestions of domestic senior experts who have been engaged in the clinical practice of interventional radiology,obstetrics,medical imaging,etc.are collected,and the relevant experience in clinical practice of temporary intravascular balloon occlusion technique is summarized.This consensus aims to standardize the operation of temporary intravascular balloon occlusion technique,to improve its utilization frequency in primary hospitals,and to reduce the incidence of procedurerelated complications.
作者
中国妇幼保健协会放射介入专业委员会
韩新巍
王艳丽
张凯
段旭华
Interventional Radiology Professional Committee of China Maternal and Child Health Association;HAN Xinwei;WANG Yanli;ZHANG Kai(不详;First Affiliated Hospital of Zhengzhou University of China;Third Affiliated Hospital of Zhengzhou University of China)
出处
《介入放射学杂志》
CSCD
北大核心
2023年第5期415-420,共6页
Journal of Interventional Radiology
关键词
胎盘植入
球囊阻断
剖宫产
专家共识
placenta implantation
balloon blocking
cesarean section
expert consensus
