摘要
目的探讨超声引导腹主动脉球囊阻断术在中央性前置胎盘伴胎盘植入产妇剖宫产术中的应用价值。方法回顾性分析2006年1月～2015年12月在柳州市人民医院符合行剖宫产分娩的符合中央型前置胎盘伴胎盘植入诊断41例孕产妇的临床资料,根据治疗方式将其分为研究组(14例,于剖宫产术前在超声引导下预置腹主动脉球囊),对照组(27例,常规行剖宫产术)。比较两组的术中出血量、剖宫产手术时间、输红细胞量、手术前后血红蛋白、子宫切除率、新生儿出生体重、1 min Apgar评分、术后24 h出血量、术后住院时间、行局部病灶剜除术及产妇胎盘情况等。结果研究组术中出血量、剖宫产手术时间、输红细胞量较对照组减少,术后血红蛋白水平均高于对照组,差异有统计学意义(P <0.05)。而在子宫切除率、新生儿出生体重、1 min Apgar评分、术后24 h出血量、术后住院时间、行局部病灶剜除术及产妇胎盘情况等比较,差异无统计学意义(P> 0.05)。结论剖宫产术中联合超声引导下腹主动脉球囊阻断可能有助于减少中央性前置胎盘伴胎盘植入产妇的术中出血量、输红细胞量以及缩短剖宫产手术时间。
Objective To explore the value of the therapeutic effect of ultrasound guided abdominal aortic balloon occlusion in cesarean delivery in the management of central placenta previa with placenta implantation. Methods From January 2006 to December 2015, in Liuzhou People′s Hospital, the clinical data of 41 patients diagnosed of central placenta previa with placenta implantation were retrospectively analyzed, they were divided into the study group (14 cases, given cesarean section combine with the application of ultrasound guided abdominal aortic balloon occlusion) and the control group (27 cases, given routine cesarean section) according to the treatment method. The estimated blood loss, operation time of cesarean section, transfused red blood cells, hemoglobin before and after surgery, hysterectomy rate, newborn weight, 1 min Apgar score, 24 h postoperative bleeding, postoperative hospital, enucleation of the placenta accreta region and placenta condition in two groups were compared. Results The estimated blood loss, operation time of cesarean section and transfused red blood cells in the study group were lower than the control group, the differences were statistically significant (P < 0.05). The hysterectomy rate, newborn weight, 1 min Apgar score, 24 h postoperative bleeding, postoperative hospital, enucleation of the placenta accreta region and placenta condition in the two groups were compared, the differences were not statistically significant (P > 0.05). Conclusion Ultrasound guided abdominal aortic balloon occlusion in cesarean section might help to reduce estimated blood loss, transfused red blood cells and shorten the operation time of cesarean section in the treatment of central placenta previa with placenta implantation.
作者
陈滢
陈柏秀
CHEN Ying;CHEN Baixiu(Department of Obstetrics, Liuzhou People′s Hospital Affiliated to Guangxi University of Technology, Guangxi Zhuang Autonomous Region, Liuzhou 545006, China)
出处
《中国医药导报》
CAS
2019年第6期82-85,共4页
China Medical Herald
基金
广西壮族自治区卫生和计划生育委员会立项课题(Z20180275)
关键词
中央性前置胎盘
胎盘植入
超声
腹主动脉
球囊阻断
Central placenta previa
Placental implantation
Ultrasound
Abdominal aorta
Balloon occlusion
