预置髂内动脉球囊联合子宫动脉栓塞治疗凶险性前置胎盘的病例对照研究

发布时间：2018-03-12 21:00

本文选题：髂内动脉球囊　切入点：子宫动脉栓塞　出处：《现代妇产科进展》2017年10期 　论文类型：期刊论文

【摘要】：目的:评估预置髂内动脉球囊联合子宫动脉栓塞在凶险性前置胎盘的作用。方法:回顾性分析2014年5月至2015年9月就诊于我院的40例凶险性前置胎盘患者的临床资料。选择预置髂内动脉球囊和/或子宫动脉栓塞的20例患者作为研究组,传统方法止血的20例患者作为对照组。比较两组患者的出血量、输血量、是否行子宫切除、手术时间、住院时间及并发症的差异。结果:研究组平均出血量显著低于对照组[(800±359)ml vs(1875±1904)ml,P=0.01]。研究组2例输血,输入红细胞量为(0.38±1.37)U,对照组12例输血患者,输入红细胞量为(2.75±3.45)U。研究组无子宫切除,对照组1例子宫切除。两组手术时间、住院时间、术后并发症无明显差异。结论:预置髂内动脉球囊联合子宫动脉栓塞是治疗凶险性前置胎盘安全有效的方法。
[Abstract]:Objective: to evaluate the role of prepositioned internal iliac artery balloon combined with uterine artery embolization in the treatment of dangerous placenta previa. Methods: from May 2014 to September 2015, 40 patients with dangerous placenta previa in our hospital were retrospectively analyzed. Data. Twenty patients with internal iliac artery balloon and / or uterine artery embolism were selected as study group. 20 patients with traditional hemostasis were used as control group. Blood loss, blood transfusion, hysterectomy and operation time were compared between the two groups. Results: the average amount of blood loss in the study group was significantly lower than that in the control group [800 卤359ml vs(1875 卤1904ml P0. 01]. Two patients in the study group received blood transfusion, and the red blood cell volume was 0.38 卤1.37U, while in the control group, the blood cell volume was 2.75 卤3.45u.There was no hysterectomy in the study group. There was no significant difference in the operation time, hospital stay and postoperative complications between the two groups. Conclusion: prepositioned internal iliac artery balloon combined with uterine artery embolization is a safe and effective method for the treatment of dangerous placenta previa.
【作者单位】：成都市妇女儿童中心医院;
【分类号】：R714.2

【相似文献】