摘要
目的比较腹主动脉球囊预置术与髂内动脉球囊预置术治疗植入型凶险性前置胎盘的效果。方法选取2018年1~12月的我院收治的40例植入型凶险性前置胎盘患者,使用随机分组法将其分成对照组和观察组,每组各20例。对照组采用髂内动脉球囊预置术治疗,观察组采用腹主动脉球囊预置术治疗,观察两组的球囊预置手术相关指标,包括球囊预置时间、穿刺部位出血、胎儿透视时间、放射剂量,以及两组的剖宫产手术相关指标,包括手术时间、术中出血量、术后住院时间和术后体温。结果观察组球囊预置时间、胎儿透视时间均短于对照组,穿刺部位出血发生率低于对照组,放射剂量少于对照组,差异有统计学意义(P<0.05)。观察组手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);两组术后住院时间及术后体温比较,差异无统计学意义(P>0.05)。结论腹主动脉球囊预置术在球囊预置时间、穿刺部位出血、胎儿透视时间、放射剂量、手术时间、术中出血量方面,优于髂内动脉球囊预置术,在术后住院时间和术后体温方面,两种手术方式的差异不大,腹主动脉球囊预置术能更好的控制患者的手术过程,临床效果更加显著,适合在临床推广和应用。
Objective To compare the effect of abdominal aortic balloon preset and internal iliac artery balloon preset in the treatment of implanted sinister placenta previa. Methods A total of 40 patients with implanted sinister placenta previa treated in our hospital from January to December 2018 were selected. Random grouping method was used to divide the patients into control group and observation group, 20 cases in each group. The control group was treated with internal iliac artery balloon preconditioning. The observation group was treated with abdominal aortic balloon preset surgery. The indexes of balloon preset surgery in the two groups were observed, including balloon preset time, bleeding at puncture site, fetal fluoroscopy time, radiation dose, as well as the related indexes of cesarean section in the two groups, including cesarean section time, amount of bleeding during cesarean section, postoperative hospital stay and postoperative body temperature. Results The balloon preset time and fetal fluoroscopy time were shorter in the observation group those that in the control group, the incidence of bleeding at the puncture site was lower than that of the control group, and the radiation dose was less than that of the control group, the differences were statistically significant (P<0.05). The cesarean section time of the observation group was shorter than that of the control group, the intraoperative blood loss was less than that of the control group, and the differences were statistically significant (P<0.05). There were no differences in postoperative hospital stay and postoperative body temperature between the two groups (P>0.05). Conclusion Abdominal aortic balloon preset surgery is superior to internal iliac artery balloon in terms of balloon preset time, puncture site bleeding, fetal fluoroscopy time, radiation dose, cesarean section time, and introoperative bleeding volume. In the postoperative hospital stay and postoperative body temperature, the difference between the two surgical methods is not large, therefore, relatively speaking, abdominal aortic balloon preset surgery can better control the patients′ surgical process, clinical effectis more significant, suitable for clinical promotion and use.
作者
张桂欣
孙丽君
闫莉丽
ZHANG Gui-xin;SUN Li-jun;YAN Li-li(Tangshan Maternal and Child Health Hospital,Hebei Province,Tangshan 063000,China)
出处
《中国当代医药》
2019年第28期160-162,共3页
China Modern Medicine
关键词
腹主动脉球囊预置术
髂内动脉球囊预置术
植入型凶险性前置胎盘
比较
Abdominal aortic balloon preset surgery
Internal iliac artery balloon preset surgery
Implantable sinister placenta previa
Comparison
