摘要
目的:探讨腹主动脉球囊阻断术在凶险性前置胎盘(PPP)患者治疗中的应用效果。方法:抽取2018年6月至2019年2月德州市人民医院收治的62例PPP患者作为研究对象,按患者自身意愿分为对照组(n=30)和观察组(n=32)。对照组采用常规方法剥离胎盘,观察组采用腹主动脉球囊阻断术。比较两组患者手术指标(术中出血量、术中输血量、手术时间、术后24 h出血量、住院时间)、并发症(包括孕妇感染、膀胱损伤、弥散性血管内凝血及新生儿窒息、死亡)及子宫切除率。结果:观察组患者术中出血量、术中输血量、手术时间、术后24 h出血量、住院时间低于对照组患者(P<0.05)。观察组孕妇并发症总发生及子宫切除率分别为3.13%、3.13%,低于对照组的20.00%、23.33%(P<0.05)。结论:对PPP患者施行腹主动脉球囊阻断术可改善手术相关指标,降低并发症率及子宫切除发生率。
Objective To explore the effect of abdominal aortic balloon occlusion in patients with pernicious placenta previa(PPP).Methods A total of 62 PPP patients admitted to Dezhou People’s Hospital from June 2018 to February 2019 were selected as the study objects,according to the patient’s own wishes were divided into control group(n=30)and observation group(n=32).The placenta was removed by conventional methods in the control group,while abdominal aortic balloon occlusion was used in the observation group.Surgical indicators(intraoperative blood loss,intraoperative blood transfusion,surgery time,blood loss 24 h postoperative and hospital stay),complications(maternal infection,bladder injury,disserminated intravascula coagulation,neonatal asphyxia and death)and hysterectomy rates were collected and compared between the two groups.Results The amount of intraoperative bleeding,intraoperative blood transfusion,surgery time,bleedloss 24 hours postoperative and hospital stay in the observation group were significantly less than those in the control group(P<0.05).The incidence of complications and hysterectomy rate in the observation group were 3.13% and 3.13% respectively,which were significantly lower than 20% and 23.33% in the control group(P<0.05).Conclusions Abdominal aortic balloon occlusion in PPP patients can improve surgical parameters and reduce the incidence of complications and hysterectomy.
作者
王德亮
蔡富强
Wang Deliang;Cai Fuqiang(Department of Obstetrics,Dezhou People’s Hospital,Dezhou 253000,China)
出处
《中国实用医刊》
2020年第10期39-41,共3页
Chinese Journal of Practical Medicine
关键词
凶险性前置胎盘
腹主动脉球囊阻断术
Pernicious placenta previa
Abdominal aortic balloon occlusion
