摘要
目的比较腹主动脉球囊阻断术与髂内动脉球囊阻断术在凶险性前置胎盘合并胎盘植入剖宫产产妇中的应用效果。方法选择2016年2月—2019年2月在海南医学院第二附属医院妇产科接受剖宫产治疗的凶险性前置胎盘合并胎盘植入的孕妇76例,对其临床资料进行回顾性分析,依据产妇所使用的治疗方法分为对照组(38例)和观察组(38例),对照组产妇在剖宫产之前使用髂内动脉球囊阻断术,观察组产妇在剖宫产之前使用腹主动脉球囊阻断术。对比2组产妇的手术相关数据、新生儿的相关情况及婴儿在1、3、6个月的身高与体质量。结果观察组的透视耗时、放射剂量、术中出血量、术中输血量均低于对照组(t=16.132,45.195,6.221,6.335,P<0.01),2组手术时间、住院时间等手术相关指标比较差异均无统计学意义(P>0.05),2组新生儿出生1 min的Apgar评分、新生儿窒息、体质量、身高比较差异均无统计学意义(P>0.05);2组婴儿在出生1、3、6个月的身高与体质量差异亦无统计学意义(P>0.05);2组产妇的穿刺部位出血、产后出血、产褥感染、DIC发生率比较差异均无统计学意义(P>0.05)。结论腹主动脉球囊阻断术与髂内动脉球囊阻断术治疗凶险性前置胎盘合并胎盘植入的剖宫产产妇,效果良好,可明显减少失血量和并发症,但腹主动脉阻断术的辐射剂量更小,优先推荐使用。
Objective To compare the effects of abdominal aortic balloon occlusion and internal iliac artery balloon occlusion in women with dangerous placenta previa combined with placenta implantation and cesarean section.Methods A retrospective analysis of the clinical data of 76 pregnant women with dangerous placenta previa combined with placenta accreta in the Department of Obstetrics and Gynecology of the Second Affiliated Hospital of Hainan Medical University from February 2016 to February 2019 was selected.According to the treatment methods used by the parturients,they were divided into the control group(38 cases)and the observation group(38 cases).The control group received internal iliac artery balloon occlusion before the cesarean section,and the observation group used the internal iliac artery balloon occlusion before the cesarean section.Balloon occlusion of the abdominal aorta.Compare the two groups of maternal surgery-related data,the relevant conditions of the newborn,and the height and weight of the babies at 1,3,and 6 months.Results The fluoroscopy time,radiation dose,intraoperative blood loss,intraoperative blood transfusion of the observation group were lower than those of the control group(t=16.132,45.195,6.221,6.335,P<0.01).There were differences in the operation time,and hospital stay in the two groups.There was no statistical significance(P>0.05).There was no significant difference in Apgar score,neonatal asphyxia,body weight,and height at 1 minute of birth between the two groups(P>0.05);the two groups of babies were born at 1,3 There was no statistically significant difference in height and body weight at 6 months(P>0.05);there was no significant difference in the incidence of puncture site bleeding,postpartum hemorrhage,puerperal infection,and DIC between the two groups(P>0.05).Conclusion Abdominal aortic balloon occlusion and internal iliac artery balloon occlusion in the treatment of dangerous placenta previa combined with placental implants in cesarean section women have good results,which can significantly reduce blood loss during operation and reduce complications However,the radiation dose of abdominal aortic occlusion is smaller and the operation is simpler.When conditions permit,it is recommended first.
作者
黄素静
关红琼
韦秋圆
许琳
吴海芳
Huang Sujing;Guan Hongqiong;Wei Qiuyuan;Xu Lin;Wu Haifang(Department of Obstetrics, The Second Affiliated Hospital of Hainan Medical University, Hainan Province,Haikou 570311, China)
出处
《疑难病杂志》
CAS
2021年第6期592-596,共5页
Chinese Journal of Difficult and Complicated Cases
基金
海南省卫计委项目(1421320.31A2004)。
关键词
腹主动脉球囊阻断术
髂内动脉球囊阻断术
前置胎盘
凶险性
胎盘植入
剖宫产
Abdominal aorta occlusion
Internal iliac artery balloon
Sinister placenta previa
Placenta implantation
Cesarean section
作者简介
通讯作者:关红琼,E-mail:guanhq1962@163.com。
