介人放射学杂志2023年5月第32卷第5期JIntervent Radiol2023,Vol.32,Na5415·指南与共识Guidelines and consensus'胎盘植入剖宫产血管内球囊暂时阻断技术规范中国专家共识中国妇幼保健协会放射介入专业委员会【摘要】随着介人放射学的发展，动脉内球囊暂时阻断技术在胎盘植人产妇剖官产术中得到广泛应用，能有效减少术中出血量及降低子官切除率。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，汇聚国内介人科、产科、影像科等多学科相关专家意见及建议，系统阐述胎盘植人产妇剖官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。【关键词】胎盘植人：球囊阻断；剖官产：专家共识中图分类号：R719.8文献标志码：A文章编号：1008-794X(2023)-05-0415-06Chinese expert consensus on the specifications of temporary intravascular balloon occlusion techniquein cesarean section for pregnant women with placenta implantation Interventional RadiologyProfessional Committee of China Maternal and Child Health AssociationCorresponding athor:HAN Xinwei (First Affiliated Hospital of Zhengzhou University of China),E-mail:hanxinwei2006@163com;WANG Yanli (First Affiliated Hospital of Zhenghou University of China),E-mail:zzuwyl@sinacom;ZHANG Kai(Third Affiliated Hospital of Zhengzhou University of China),E-mail:guyejrk@163.com[Abstract]With the development of interventional radiology technology,the temporary intravascularballoon occlusion technique has been widely used in cesarean section for pregnant women with placentaimplantation,which can effectively reduce the amount of intraoperative blood loss and,thus,reduce theclinical need for a hysterectomy.However,there is no well recognized opinion about the site and specificoperation mode of blocking blood flow in the medicial field of China so far.This consensus makes a systemicand comprehensive summary of the temporary intravascular balloon occlusion technique,focusing on theselection of indications,technical methods,intraoperative manipulation,management of the procedure-relatedcomplications.In this consensus,the opinions and suggestions of domestic senior experts who have beenengaged 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 issummarized.This consensus aims to standardize the operation of temporary intravascular balloon occlusiontechnique,to improve its utilization frequency in primary hospitals,and to reduce the incidence of procedure-related complications.(J Intervent Radiol,2023,32:415-420)[Key words]placenta implantation;balloon blocking:cesarean section:expert consensus胎盘植入是妊娠中晚期较为严重的并发症，通因是宫腔内操作如清宫手术、宫腔镜手术等导致子常是因为胎盘附着于既往剖宫产瘢痕上，小部分原宫内膜机械性损伤并缺失，导致绒毛膜于子宫内膜D01:10.3969.isn.1008-794X.2023.05.001通信作者：韩新巍（郑州大学第一附属医院）E-mail:hanxinwei2.0O6@163.cm王艳图（郑州大学第一附属医院）E-mail:zzuwyl@si.com张凯（郑州大学第三附属医院）E-ail:9yejk@163.com
