凶险性前置胎盘合并胎盘植入剖宫产术中腹主动脉远端球囊阻断的临床疗效

发布时间：2018-03-13 16:22

本文选题：球囊阻断　切入点：主动脉　出处：《中国介入影像与治疗学》2017年06期 　论文类型：期刊论文

【摘要】：目的分析剖宫产术中腹主动脉远端球囊阻断对于治疗凶险性前置胎盘合并胎盘植入的临床疗效。方法回顾性分析72例凶险性前置胎盘合并胎盘植入产妇的资料。其中53例(阻断组)于剖宫产术前预留腹主动脉球囊导管,术中暂时阻断腹主动脉血流;19例(未阻断组)未留置腹主动脉球囊导管,直接行剖宫产手术。比较2组术中、术后情况及新生儿情况。结果球囊阻断组术中出血量、术中输血量、子宫切除率均低于未阻断组(P均0.05),2组间术后转入重症监护室(ICU)的比例及ICU住院时间差异均有统计学意义(P均0.05),手术时间、术后感染发生率及术后住院总时间差异均无统计学意义(P均0.05)。2组间新生儿体质量及出生后5min、10min的Apgar评分差异均无统计学意义(P均0.05)。结论凶险性前置胎盘合并胎盘植入剖宫产术中行腹主动脉远端球囊阻断安全可行,可有效减少术中出血及输血量,降低子宫切除率。
[Abstract]:Objective to analyze the clinical effect of abdominal aortic distally balloon occlusion in caesarean section for the treatment of severe placenta previa with placenta accreta. Methods 72 cases of perilous placenta previa with placenta accreta were retrospectively analyzed. The abdominal aortic balloon catheter was reserved before cesarean section in 53 cases (block group). The abdominal aorta blood flow was temporarily blocked in 19 cases (unblocked group), the abdominal aortic balloon catheter was not placed, and the cesarean section was performed directly. The intraoperative, postoperative and neonatal conditions were compared between the two groups. Results the amount of blood lost during the operation in the balloon occlusion group was higher than that in the control group. There were significant differences in the volume of blood transfusion and the rate of hysterectomy between the two groups compared with those in the unblocked group (P < 0.05) and the length of ICU stay in the intensive care unit (ICU). There was no significant difference in incidence of infection after operation and total length of stay after operation. Conclusion there was no significant difference in neonatal body mass and Apgar score between two groups (P < 0.05). Conclusion there is no significant difference in Apgar score between two groups. Conclusion there is no significant difference in Apgar score between two groups. Conclusion there is no significant difference in placenta previa associated with placenta implantation. It is safe and feasible to perform balloon occlusion of distal abdominal aorta during cesarean section. It can effectively reduce intraoperative bleeding and blood transfusion, and reduce the rate of hysterectomy.
【作者单位】：中国医科大学附属盛京医院放射科;中国医科大学附属盛京医院心内科;
【分类号】：R719.8

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