Uterine artery embolization with femoral artery catheterization before cesarean delivery prevents postpartum hemorrhage in women with pernicious placenta pervia
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Uterine artery embolization with femoral artery catheterization before cesarean delivery prevents postpartum hemorrhage in women with pernicious placenta pervia
Journal of Army Medical UniversityVol. 37, Issue 21, Pages: 2203-2206(2015)
Li Sufen,Yang Ying.Uterine artery embolization with femoral artery catheterization before cesarean delivery prevents postpartum hemorrhage in women with pernicious placenta pervia[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(21):2203-2206.
Li Sufen,Yang Ying.Uterine artery embolization with femoral artery catheterization before cesarean delivery prevents postpartum hemorrhage in women with pernicious placenta pervia[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(21):2203-2206.DOI:
Uterine artery embolization with femoral artery catheterization before cesarean delivery prevents postpartum hemorrhage in women with pernicious placenta pervia
Objective To evaluate the curative effect and clinical significance of femoral artery catheterization before cesarean delivery and then followed by uterine arterial embolization immediately after delivery of baby in patients with pernicious placenta pervia. Methods A retrospective study was performed on 50 patients of pernicious placenta pervia with placenta implantation admitted in our department from June 2013 to December 2014. The treatment group (n=30) were given by indwelling femoral artery catheter before cesarean and then uterine arterial embolization immediately after delivery of baby. The control group (n=20) were proceeded femoral artery catheterization and uterine arterial embolization after cesarean section. Postpartum hemorrhage volume was used to compare the therapeutic effect of the 2 therapeutic methods. Results There were 2 cases of diffuse intravascular coagulation (DIC
6.7%) in the treatment group and 4 cases (20.0%) in the control group
with significant difference between the 2 groups (P0.05 ). Mean bleeding volume was 2 500±800 and 5 000±500 mL respectively in the treatment group and control group
and significant difference was seen (P0.05). Conclusion For patients of pernicious placenta pervia combine with placenta implantation
femoral artery catheterization before cesarean section and proceeding uterine arterial embolization immediately after delivery of baby can reduce the amount of bleeding effectively during and after operation