摘要
目的探讨腹主动脉球囊阻断术在凶险性前置胎盘治疗中的应用效果。方法选取76例经超声诊断为凶险性前置胎盘产妇为研究对象,将36例采用腹主动脉球囊阻断术结合常规剖宫产手术的产妇设为试验组,将40例采用常规剖宫产手术产妇设为对照组。比较两组产妇结局及手术相关指标。结果试验组手术时间长于对照组,术中出血量、术中输血量均少于对照组,差异有统计学意义(P<0.05),两组产妇术后住院天数和新生儿Apgar评分比较,差异无统计学意义(P>0.05)。两组产妇子宫切除率比较,差异无统计学意义(P>0.05);与对照组相比,试验组产妇术后并发症发生率22.22%高于对照组的2.50%,弥散性血管内凝血(DIC)发生率0低于对照组的15.00%,差异具有统计学意义(P<0.05)。结论腹主动脉球囊阻断术虽然在凶险性前置胎盘产妇中有一定的临床应用价值,但也应密切关注腹主动脉球囊阻断术后的并发症。
Objective To investigate the effect of abdominal aortic balloon occlusion in the treatment of dangerous placenta previa.Methods 76 women with dangerous placenta previa diagnosed by ultrasound were selected as the research objects,36 parturients with abdominal aortic balloon occlusion combined with conventional cesarean section were selected as the experimental group,and 40 parturients with conventional cesarean section were selected as the control group.Maternal outcomes and operationrelated indexes were compared between the two groups.Results The operation time of the experimental group was longer than that of the control group,and the amount of intraoperative blood loss and intraoperative blood transfusion were less than those of the control group,the differences were statistically significant(P<0.05).There were no statistically significant differences in the postoperative hospitalization days and neonatal Apgar score between the two groups(P>0.05).There was no significant difference in the hysterectomy rate between the two groups(P>0.05).Compared with the control group,the incidence of postoperative complications in the experimental group was 22.22%higher than that in the control group(2.50%),and the incidence of disseminated intravascular coagulation(DIC)was 0 lower than that in the control group(15.00%),the differences were statistically significant(P<0.05).Conclusion Although balloon occlusion of abdominal aorta has certain clinical value in women with dangerous placenta previa,the complications of balloon occlusion of abdominal aorta should be paid close attention to.
作者
陈俊霖
王泓淋
肖兵
Chen Junlin;Wang Honglin;Xiao Bing(Department of Invasive Technology,Dazhou Central Hospital,Dazhou 635000,China)
出处
《实用妇科内分泌电子杂志》
2022年第30期1-4,共4页
Electronic Journal of Practical Gynecological Endocrinology
基金
四川省达州市卫生健康委基金项目(编号2018044)。
关键词
腹主动脉球囊阻断术
凶险性前置胎盘
应用效果
Abdominal aortic balloon occlusion
Dangerous placenta previa
Application effect
