髂内动脉球囊封堵在凶险型前置胎盘剖宫产围手术期的临床应用

发布时间：2018-05-14 22:28

  本文选题：凶险型前置胎盘 + 剖宫产　； 参考：《现代妇产科进展》2015年10期

【摘要】：目的:探讨髂内动脉球囊封堵在凶险型前置胎盘剖宫产围手术期的临床疗效。方法:收集2014年1月至2015年2月徐州市中心医院产科收治的凶险型前置胎盘产妇42例,将患者随机分为封堵组(22例)和对照组(20例)。封堵组剖宫产术前应用双侧髂内动脉球囊封堵术,对照组采用常规剖宫产术。观察两组产妇的出血量、输血量、子宫切除率及新生儿Apgar评分情况。结果:封堵组中产后出血量≥3000ml的比率明显少于对照组[0.0%(0/22)vs 20.0%(4/20)]。与对照组比较,封堵组的术中及术后平均输血量(309.09ml vs 740.00ml)及子宫切除率[0.0%(0/22)vs 25.0%(5/20)]明显降低,差异均有统计学意义(P0.05)。两组的产后出血量1000~3000ml、术前与术后24h后血色素差值、术后1~5d恶露量、新生儿1min及5min Agpar评分比较,差异均无统计学意义(P0.05)。结论:凶险型前置胎盘采用剖宫产术前预置髂内动脉球囊是控制产后大出血(≥3000ml)及减少子宫切除率的有效手段,较常规剖宫产术具有明显的优势。
[Abstract]:Objective: to investigate the clinical effect of balloon closure of internal iliac artery in perioperative period of severe placenta previa caesarean section. Methods: from January 2014 to February 2015, 42 cases of perilous placenta previa in the obstetrics department of Xuzhou Central Hospital were collected. The patients were randomly divided into two groups: the occlusion group (n = 22) and the control group (n = 20). Bilateral internal iliac artery balloon closure was performed before cesarean section in the occlusion group and conventional cesarean section was used in the control group. Blood loss, blood transfusion, hysterectomy rate and neonatal Apgar score were observed. Results: the rate of postpartum hemorrhage 鈮，

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