期刊
BMC PREGNANCY AND CHILDBIRTH
卷 19, 期 -, 页码 -出版社
BMC
DOI: 10.1186/s12884-019-2175-0
关键词
Placenta accreta; Abdominal aortic balloon occlusion; Cesarean section
资金
- National Key Research and Development Program of Reproductive Health & Major Birth Defects Control and Prevention [2016YFC1000407]
- National Natural Science Foundation of China [81601304]
- Key Program of International Cooperation of NSFC [81520108013]
- PhD Programs Foundation of the Ministry of Education of China [2013550311003]
BackgroundSevere obstetric hemorrhage caused by placenta accreta results in significant maternal morbidity and mortality. As a new technology, abdominal aortic balloon occlusion (AABO) is becoming an important treatment for patients with placenta accreta. To evaluate the safety and efficacy of AABO, we conducted a systematic review and meta-analysis of previous studies.MethodsWe used a three-check subset including placenta accreta (placenta previa, percreta, increta, etc.), balloon, and aortic (aortas, aorta, etc.) to form a retrieval formula and searched in MEDLINE, EMBASE, the Cochrane Library, clinicaltrials.gov and Web of Science. All articles regarding placenta previa or placenta accreta and including the use of abdominal aortic balloon occlusion were included in our screening. Two researchers selected articles and extracted data independently. Finally, the Newcastle-Ottawa Quality Assessment Scale was used for quality assessments.ResultsWe retrieved 776 articles and eventually included 11 clinical studies. Meta-analysis showed that AABO significantly reduced the blood loss volume (MD-1480ml, 95% CI -1806 to-1154ml, P<0.001) and blood transfusion volume (MD-1125ml, 95% CI -1264 to-987ml, P<0.001). Similarly, obvious reductions in the hysterectomy rate (OR 0.30, 95% CI 0.19 to 0.48, P<0.001), hospitalization duration (MD-1.35days, 95% CI -2.40 to-0.31days, P=0.01), and operative time (MD-29.23min, 95% CI -46.04 to-12.42min, P<0.001) were observed in the AABO group.ConclusionThe prophylactic use of AABO in patients with placenta accreta is safe and effective.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据