摘要
目的研究多学科协作下腹主动脉球囊阻断术在凶险性前置胎盘剖宫产术中的应用效果。方法回顾性分析成都市妇女儿童中心医院2016年1~9月术前诊断为凶险性前置胎盘的病例56例。其中剖宫产时未行介入治疗,仅采取传统的手术缝扎止血方式的35例为对照组,行剖宫产术配合腹主动脉球囊阻断术的21例为观察组。比较两组术中、术后情况及新生儿结局。结果观察组患者术中出血量、手术时间、住院天数和转重症监护室率显著低于对照组,差异有统计学意义(P<0.05);两组患者术后形成血栓率、子宫切除率、新生儿体重和Apgar评分比较差异无统计学意义(P>0.05)。结论腹主动脉球囊阻断术在凶险性前置胎盘剖宫产术中有良好的应用效果,可以减少患者的术中输血量、术中出血量、手术时间和住院天数,多学科协作下不增加术后并发症的发生,不增加新生儿窒息概率。因此多学科协作下腹主动脉球囊阻断术是降低凶险性前置胎盘术中出血的有效手段。
Objective To investigate the application of abdominal aorta balloon occlusion in patients with pernicious placenta previa. Methods 56 cases placenta previa patients in Chengdu Women＇s and Children＇s Central Hospital were analyzed retrospectively from Janurary 2016 to September 2016. 21 cases who had intraoperative aorta balloon occlusion were the study group, while the other 35 cases were the control group. Volume of estimated blood loss, rate of hysterectomy, postoperative complication and neonatal outcomes were compared. Results There were significant differences between the two groups in the amount of bleeding, the duration of operation, the length of hospitalization and the rate of transfer in intensive care unit （ P 〈 0. 05 ） ; no significant differences were found in the rate of thrombosis, the neonatal weight and Apgar score between the two groups （ P 〉 0. 05 ）. Conclusion Abdominal aorta balloon occlusion with multidisciplinary collaboration is effective and safe for patients with penicious placental previa. It can effectively reduce the bleeding durning operation.
作者
赖繁
王晓东
黄科
扎西
LAI Fan;WANG Xiao - dong;HUANG Ke;ZHA Xi(Department of Obstetrics , West China Second University Hospital, Sichuan University, Chengdu Sichuan 610041;2. Department of Anesthesiology, Chengdu Women~ and Children~ Central Hospital, Chengdu Sichuan 610091 ,P. R. China)
出处
《中国计划生育和妇产科》
2018年第4期89-93,共5页
Chinese Journal of Family Planning & Gynecotokology
基金
成都市医学科研课题(项目编号:2016017)
关键词
腹主动脉球囊阻断术
凶险性前置胎盘剖宫产术
应用效果
分析
abdominal aortic balloon occlusion
pernicious placenta previa cesarean section
application effect
analysis
