摘要
目的探讨凶险性胎盘并胎盘植入孕妇剖宫产术过程中行超声引导下腹主动脉球囊阻断术的临床价值。方法凶险性前置胎盘并胎盘植入孕妇38例,随机分为观察组20例和对照组18例,2组均行剖宫产术。剖宫产术前,观察组行超声引导下腹主动脉球囊阻断术,对照组行血管造影下腹主动脉球囊阻断术。比较2组术中出血量、输血量、球囊阻断时间、手术时间、术后住院时间。结果 2组均成功置入球囊,并在球囊阻断辅助下成功实施剖宫产手术;观察组术中出血量[(1 685±935)mL]、输血量[(3.9±1.5)u]、球囊阻断时间[(23.10±3.66)min]、手术时间[(167.9±17.0)min]、术后住院时间[(5.8±1.8)d]与对照组[(1 594±1 231)mL、(3.3±1.2)u、(25.44±4.87)min、(175.5±16.3)min、(6.7±1.4)d]比较差异均无统计学意义(P>0.05)。结论对行剖宫产术的凶险性前置胎盘并胎盘植入患者,超声引导下腹主动脉阻断可达到与血管造影下腹主动脉球囊阻断术相同的手术效果。
Objective To investigate the clinical implication of ultrasound-guided abdominal aortic balloon occlusion in cesarean section in patients with dangerous placenta praevia complicated with placenta implantation. Methods Thirty-eight patients with dangerous placenta praevia complicated with placenta implantation were randomly divided into observation group（n=20）receiving ultrasound-guided abdominal aortic balloon occlusion and control group（n=18）receiving angiography-guided abdominal aorta balloon occlusion before cesarean section.The intraoperative blood loss,blood transfusion volume,balloon occlusion time,operative time and postoperative hospitalization stay were compared between two groups.Results The balloon was successfully implanted in two groups,and cesarean section was successfully performed assisted by balloon occlusion.There were no significant differences in intraoperative blood loss（（1 685±935）mL vs（1 594±1 231）mL）,blood transfusion volume（（3.9±1.5）u vs（3.3±1.2）u）,balloon occlusion time（（23.10±3.66）min vs（25.44±4.87）min）,operative time（（167.9±17.0）min vs（175.5±16.3）min）and postoperative hospitalization stay（（5.8±1.8）d vs（6.7±1.4）d）between observation group and control group（P 0.05）.Conclusion Ultrasound-guided abdominal aorta occlusion can achieve the same surgical effect as angiography-guided abdominal aorta balloon occlusion in patients with dangerous placenta praevia and placenta implantation undergoing cesarean section.
作者
闫珺
武海英
胡文笳
方水龙
王秋明
YAN Jun;WU Haiying;HU Wenjia;FANG Shuilong;WANG Qiuming(Department of Obstetrics,Henan Provincial People＇s Hospital,People＇s Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处
《中华实用诊断与治疗杂志》
2018年第11期1115-1117,共3页
Journal of Chinese Practical Diagnosis and Therapy
基金
河南省医学科技攻关项目(201602207)
关键词
凶险性前置胎盘
超声
腹主动脉球囊阻断术
胎盘植入
剖宫产术
dangerous placenta previa
ultrasound
abdominal aorta balloon occlusion~ placental implantation
cesarean section
