摘要
目的:探究腹主动脉球囊阻断预置术在凶险性前置胎盘剖宫产术中应用效果。方法:回顾性选取2015年1月-2018年6月本院产科收治住院的凶险性前置胎盘合并胎盘植入患者200例,分别为剖宫产术前行腹主动脉球囊阻断预置术140例或行髂内动脉双侧球囊阻断术60例,分析并比较两组患者胎盘植入类型、手术及妊娠结局。结果:两组胎盘植入类型、术后下肢血栓形成发生未见差异(P>0.05);腹主动脉组手术失血量、术中输血量、手术时间以及子宫切除率均低于髂内动脉组(P<0.05);两组新生儿Apgar评分、窒息发生情况比较无差异(P>0.05)。结论:凶险性前置胎盘合并胎盘植入患者胎盘剖宫产术前,行腹主动脉球囊阻断预置术,可更好地减轻术中出血情况,节省手术时间,降低子宫切除风险。
Objective:To explore the effect of preimplantation of abdominal aortic balloon occlusion for treating women with dangerous placenta previa during caesarean section.Methods:200 women with dangerous placenta previa and placenta implantation from January 2015 to June 2018 were selected retrospectively.They were divided into observation group(140 women with preimplantation preoperative abdominal aortic balloon occlusion before cesarean section)and control group(60 women with bilateral balloon occlusion of internal iliac artery before cesarean section).The types of placenta implantation,surgical bleeding,hysterectomy,and pregnancy outcomes of women were compared between the two groups.Result:There were no significant different in the type of placenta implantation and the thrombosis of lower extremities of women,and the newborn Apgar score and asphyxia rate between the two groups(P>0.05).The blood loss,intraoperative blood transfusion,operation time,and hysterectomy rate of women in the observation group were significant lower than those of women in the control group(P<0.05).Conclusion:Preimplantation of abdominal aortic balloon occlusion of women with dangerous placenta previa and placenta implantation can significantly reduce intraoperative bleeding,shorten operation time,and reduce the risk of hysterectomy.
作者
靳闪闪
马会峰
JIN Sanan;MA Huifeng(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan Province,471000)
出处
《中国计划生育学杂志》
2020年第9期1471-1474,共4页
Chinese Journal of Family Planning
关键词
凶险性前置胎盘
胎盘植入
剖宫产
腹主动脉球囊阻断预置术
效果
Dangerous placenta previa
placenta implantation
Cesarean section
Abdominal aortic balloon occlusion preimplantation
Clinical effect
