摘要
目的 探讨临时性双侧髂内动脉球囊预置术在凶险性前置胎盘围手术期的应用价值.方法 回顾性分析2016年4月至2018年3月27例诊断为凶险性前置胎盘患者的临床资料,将剖宫产术前行临时性双侧髂内动脉球囊预置术的患者纳入球囊组(n=12),未使用者纳入对照组(n=15).比较两组在剖宫产术中出血量、输血量、子宫切除率、术后并发症、术后住院时间等指标.结果 球囊组和对照组比较,子宫切除率更低(P<0.05),术中出血量、输血量、术后住院时间、失血性休克、继发凝血功能异常等指标差异无统计学意义(P>0.05).对合并胎盘植入的患者,球囊组与对照组比较,子宫切除率更低,术中出血量、输血量更少.结论 临时性双侧髂内动脉球囊预置术可以减少凶险性前置胎盘剖宫产手术中的出血量、输血量,并降低子宫切除率.
Objective To explore the clinical value of internal iliac of artery balloon occlusion during the perioperation period of pernicious placenta praevia. Method The medical records of 27 patients who diagnosed with pernicious placenta praevia in Hangzhou First People’s Hospital from Apr. 2016 to Mar. 2018 were retrospectly reviewd. 12 patients accepted temporary internal iliac artery balloon occlusion before cesarean section were divided to balloon group,others were divided to control group. Blood loss during operation,volume of transfuse blood products,hysterectomy, postoperative complications,days in hospital after operation of two group were compared. Result Volume of blood loss during operation,volume of transfuse blood products,postoperative complications and days in hospital after operation was similar between the two group(P>0.05). The balloon group had less hysterectomy than control group(P<0.05). Among patients with placenta implantation,the balloon group had less volume of blood loss during operation,volume of transfuse blood products and hysterectomy. Conclusion Temporary internal iliac artery balloon occlusion is able to control the blood loss during operation and volume of transfuse blood products,furthermore,decrease hysterectomy in treatment of pernicious placenta previ.
出处
《浙江临床医学》
2019年第3期378-380,共3页
Zhejiang Clinical Medical Journal
关键词
凶险性前置胎盘
髂内动脉
球囊阻断
胎盘植入
Pernicious placenta praevia Internal iliac artery
Balloon occlusion
Placenta implantation
