[1]龙 潭,黄 笛,杨 锦,等.腹主动脉球囊阻断联合子宫动脉栓塞术与传统手术治疗凶险性前置胎盘的临床疗效分析[J].医学信息,2022,35(05):101-104.[doi:10.3969/j.issn.1006-1959.2022.05.025]
　LONG Tan,HUANG Di,YANG Jin,et al.Clinical Efficacy of Abdominal Aortic Balloon Occlusion Combined with Uterine Artery Embolization and Traditional Surgery in the Treatment of Dangerous Placenta Previa[J].Medical Information,2022,35(05):101-104.[doi:10.3969/j.issn.1006-1959.2022.05.025]
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腹主动脉球囊阻断联合子宫动脉栓塞术与传统手术治疗凶险性前置胎盘的临床疗效分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年05期
页码:
101-104
栏目:
论著
出版日期:
2022-03-01

文章信息/Info

Title:
Clinical Efficacy of Abdominal Aortic Balloon Occlusion Combined with Uterine Artery Embolization and Traditional Surgery in the Treatment of Dangerous Placenta Previa
文章编号:
1006-1959（2022）05-0101-04
作者:
龙 潭; 黄 笛; 杨 锦; 等
（1.川北医学院临床医学系，四川 南充 637000；2.宜宾市第一人民医院血管外科，四川 宜宾 644000）
Author(s):
LONG Tan; HUANG Di; YANG Jin; et al.
(1.Department of Clinical Medicine,North Sichuan Medical College,Nanchong 637000,Sichuan,China;2.Department of Vascular Surgery,the First Hospital of Yibin,Yibin 644000,Sichuan,China)
关键词:
凶险性前置胎盘; 腹主动脉球囊阻断术; 子宫动脉栓塞术; 剖宫产术
Keywords:
Dangerous placenta previa; Abdominal aortic balloon occlusion; Uterine artery embolization; Cesarean section
分类号:
R714.2
DOI:
10.3969/j.issn.1006-1959.2022.05.025
文献标志码:
A
摘要:
目的 比较腹主动脉球囊阻断联合子宫动脉栓塞术与传统手术治疗凶险性前置胎盘的临床疗效。方法 选取2016年1月-2019年8月宜宾市第一人民医院收治的329例凶险性前置胎盘患者临床资料，根据治疗方式分为实验组（n=160）和传统手术组（n=169）。实验组在凶险性前置胎盘孕产妇剖宫产术前使用了腹主动脉球囊阻断联合子宫动脉栓塞术，传统手术组行单纯剖宫产手术。比较两组孕产妇剖宫产手术相关指标、围手术期指标和介入手术指标。结果 两组剖宫产手术时间、术中补液量、新生儿5 min Apgar评分、新生儿体重、术后发热比较，差异均无统计学意义（P＞0.05）；实验组术中出血量、术中大出血、术中输血液制品、术中输红细胞悬液及新鲜冰冻血浆、子宫切除率、术后输血液制品量均低于传统手术组，差异有统计学意义（P＜0.05）；传统手术组术后住院天数高于实验组，差异有统计学意义（P＜0.05）；实验组剖宫产术前均预置Forgarty导管腹主动脉，平均耗时（16.72±4.33）min，平均电离辐射剂量（12.73±4.26）mGy，剖宫产术后有89例孕产妇（55.63%）接受了子宫动脉栓塞术，栓塞时间平均为（65.82±13.67）min，均未发生大出血。结论 凶险型前置胎盘孕产妇剖宫产术前应用腹主动脉球囊联合子宫动脉栓塞术安全有效，可降低术中及术后出血量，降低子宫切除率；同时减少了术后并发症、缩短了术后住院时间，不会对胎儿造成不利影响。
Abstract:
Objective To compare the clinical efficacy of abdominal aortic balloon occlusion combined with uterine artery embolization and traditional surgery in the treatment of dangerous placenta previa.Methods The clinical data of 329 patients with dangerous placenta previa admitted to the First Hospital of Yibin from January 2016 to August 2019 were selected and divided into experimental group (n=160) and traditional surgery group (n= 169) according to the treatment methods. The experimental group underwent abdominal aortic balloon occlusion combined with uterine artery embolization before cesarean section for pregnant women with dangerous placenta previa, and the traditional surgical group underwent cesarean section only. The related indexes of cesarean section, perioperative indexes and interventional operation indexes of the two groups were compared.Results There were no significant differences in cesarean section time, intraoperative fluid volume, neonatal 5 min Apgar score, neonatal weight and postoperative fever between the two groups (P>0.05). The intraoperative blood loss, intraoperative bleeding, intraoperative transfusion of blood products, intraoperative transfusion of red blood cell suspension and fresh frozen plasma, hysterectomy rate and postoperative transfusion of blood products in the experimental group were lower than those in the traditional operation group, and the difference was statistically significant (P<0.05). The postoperative hospital stay in the traditional surgery group was higher than that in the experimental group, and the difference was statistically significant (P<0.05). In the experimental group, the average time of preseting Forgarty catheter abdominal aorta before cesarean section was (16.72±4.33) min, and the average ionizing radiation dose was (12.73±4.26) mGy. After cesarean section, 89 pregnant women (55.63%) underwent uterine artery embolization, the average embolization time was (65.82±13.67) min, and no massive hemorrhage occurred.Conclusion Abdominal aortic balloon combined with uterine artery embolization is safe and effective for pregnant women with dangerous placenta previa before cesarean section, which can reduce intraoperative and postoperative bleeding volume and reduce hysterectomy rate. At the same time reduce the postoperative complications, shorten the postoperative hospital stay, will not adversely affect the fetus.

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更新日期/Last Update: 1900-01-01