双侧髂内动脉球囊封堵术在凶险型前置胎盘伴胎盘植入中的应用

发布时间：2018-06-21 10:25

本文选题：髂内动脉 + 球囊　；参考：《实用医学杂志》2015年20期

【摘要】：目的:探讨双侧髂内动脉球囊封堵术在凶险型前置胎盘伴胎盘植入患者剖宫产术中的作用。方法:回顾性分析24例凶险型前置胎盘伴胎盘植入患者的临床资料,12例患者行双侧髂内动脉球囊置管+取胎后球囊扩张术为研究组,其余12例为对照组。观察两组患者术中出血量、输血量、子宫切除率及相关并发症发生率等。结果:研究组术中出血量、输血量为(1 062.5±653.1)m L和(362.5±474.5)m L,少于对照组的(2 180.0±1 548.7)m L和(1250.0±1 357.8)m L(均P0.05)。研究组及对照组并发症发生率为(0/12)与(5/12)(P0.05)。两组子宫切除率为4/12与8/12,差异无统计学意义。结论:双髂内动脉球囊封堵术可以减少凶险型前置胎盘伴胎盘植入患者术中出血量、输血量并降低相应并发症发生率。
[Abstract]:Objective: to investigate the effect of bilateral internal iliac artery balloon closure in caesarean section of severe placenta previa with placenta accreta. Methods: the clinical data of 24 cases of dangerous placenta previa with placenta accreta were retrospectively analyzed. 12 cases were treated with balloon dilatation of bilateral internal iliac artery after implantation of fetal balloon as study group and 12 cases as control group. Blood loss, blood transfusion, hysterectomy rate and related complications were observed in both groups. Results: the volume of intraoperative bleeding in the study group was 1 062.5 卤653.1 mL and 362.5 卤474.5 mL respectively, which was less than that in the control group (2 180.0 卤1 548.7 mL and 1250.0 卤1 357.8 mL) (P 0.05). The incidence of complications in the study group and the control group was 0 / 12) and 5 / 12 / 0. 05% respectively. The rate of hysterectomy in the two groups was 4 / 12 and 8 / 12, with no significant difference. Conclusion: double internal iliac artery balloon closure can reduce the amount of blood loss, blood transfusion and the incidence of complications in patients with severe placenta previa associated with placenta accreta.
【作者单位】：徐州医学院附属医院介入放射科;
【分类号】：R714.462

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