摘要
目的探讨术前预防性应用双侧髂内动脉球囊封堵术联合术中宫腔球囊填塞在减少凶险性前置胎盘剖宫产术中出血的临床疗效。方法回顾性分析46例术前预防性应用双侧髂内动脉球囊封堵术的凶险性前置胎盘(介入组)和39例术前未行双侧髂内动脉球囊封堵术的凶险性前置胎盘(非介入组)患者的剖宫产结局。结果介入组子宫切除率、术中平均出血量、合并胎盘植入患者的平均出血量均低于非介入组,差异有统计学意义(P<0.05),介入组无相关介入并发症发生,两组新生儿结局比较,差异无统计学意义(P>0.05)。结论凶险性前置胎盘剖宫产术前预防性应用双侧髂内动脉球囊封堵术联合术中宫腔球囊填塞控制术中出血,必要时术毕加行双侧子宫动脉栓塞术,具有术中出血量少、并发症少、子宫切除率低等优势,是一种值得推荐的保守治疗模式。
Objective To explore the clinical efficacy of combined treatment of preoperative prophylactic bilateral iliac artery balloon catheterization and intraoperative intrauterine balloon tamponade in controlling hemorrhage during cesarean section of patients with pernicious placental previa. Methods We retrospectively compared the outcomes of cesarean section between two groups of patients with pernicious placenta previa, including 46 cases who were treated with preoperative prophylactic bilateral iliac artery balloon catheter catheterization（ intervention group ） and 39 cases who were not（ non-intervention group） . Results Uterus resection rate ,average blood loss and average blood loss of patients with placenta accrete in the intervention group were significant-ly lower than that in the non-intervention group（P〈0. 05）. There were no related complications in the intervention group, neonatal outcome between two groups had no significantly difference（P〉0. 05）. Conclusion With the advantages of reducing blood loss, complications and uterus resection rate, combined therapy of preoperative prophylactic bilateral iliac artery balloon catheterization and intraoperative intrauterine balloon tamponade, and postoperative bilateral uterine artery embolization if necessary during cesarean sec-tion in patients with pernicious placenta previa proves to be a promising conservative treatment.
出处
《四川医学》
CAS
2015年第10期1426-1429,共4页
Sichuan Medical Journal
关键词
髂内动脉
球囊封堵
凶险性前置胎盘
胎盘植入
宫腔球囊
bilateral internal iliac arteries
balloon occlusion
pernicious placenta previa
placenta accreta
intrauterine balloon
