Volume 6, Issue 3, May 2018, Page: 40-46
Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa
Limin Wang, Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Dan Luo, Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Hui Zhou, Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Chong Xie, Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Xingtao Liu, Department of Radiology, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Liqun Li, Department of Radiology, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Hu Zhao, Department of Radiology, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Jiaji Zhang, Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Qiannan Hou, Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Wenjie Qing, Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China
Received: May 1, 2018;       Accepted: May 29, 2018;       Published: Jun. 12, 2018
DOI: 10.11648/j.jgo.20180603.12      View  1354      Downloads  90
Abstract
Objective: To evaluate the effect of artery sequential interventional therapy (internal iliac artery catheterization and occlusion/ uterine artery or internal iliac artery embolization) on the hemorrhage of pernicious placenta previa. Method: The total of 29 patients with pernicious placenta previa and risk factor of placenta accreta from March 2012 to June 2013 in our hospital were included as control group, who were given traditional method of treatment, while 40 patients with the same disease status from July 2013 to October 2014 as treatment group with artery sequential interventional therapy. The amount of blood loss during operation and red blood cell suspension transfusion, the rate of hysterectomy cesarean time, the amount of cesarean section hemorrhage after 24 hours, duration of postopera tive hospital stay, the time of postoperative antibiotic usage and the prevalence of complications (pain, fever, infection and others) of patients in two groups were evaluated, respectively. Result: The significant difference of amount of blood loss during operation [(868.5±549.77) ml vs. (1506.90±1417.39) ml for treatment group and control group, respectively)] and red blood cell suspension transfusion [(1.50±1.40) U vs. (2.72±2.00) U], the rate of hysterectomy (2.50% vs. 17.24%), cesarean time [(58.86±20.33) min vs. (70.83±29.26) min)] and the prevalence of pain (81.25% vs. 48.28%) and other complications (0.00% vs. 10.35%) (all p values < 0.05) were observed, but not for the amount of cesarean section hemorrhage after 24 hours [(271.66±221.55ml) vs. (255.24±249.47 ml)], the duration of postoperative hospital stay [(5.28±1.66) d vs. (5.69±1.58) d], the time of postoperative antibiotic usage [(3.70±2.16) d vs. (3.48±2.06) d], the pain score [(2.64±0.89) vs. (2.67±1.06)], the prevalence of fever (62.50% vs. 55.17%) and inflammation (5.00% vs. 6.90%) (all p values > 0.05). All patients resumed normal menstruation after weaned for 1 to 3 month and the routine newborn physical examination on 42 days after birth, blood analysis, liver function and neurological examination of infants were normal without blood diseases. Conclusion: Artery sequential interventional therapy for patients with pernicious placenta previa was safe, effective and feasible for pregnant and newborn.
Keywords
Artery Sequencial Interventional Treatment, Pernicious Placenta Previa, Internal Iliac Artery Catheterization, Internal Iliac Artery Occlusion, Uterine Artery Embolization, Internal Iliac Artery Embolization
To cite this article
Limin Wang, Dan Luo, Hui Zhou, Chong Xie, Xingtao Liu, Liqun Li, Hu Zhao, Jiaji Zhang, Qiannan Hou, Wenjie Qing, Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa, Journal of Gynecology and Obstetrics. Vol. 6, No. 3, 2018, pp. 40-46. doi: 10.11648/j.jgo.20180603.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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