“一站式杂交技术”在凶险型前置胎盘治疗中的应用

发布时间：2018-07-04 06:27

本文选题：球囊阻断 + 凶险型前置胎盘　；参考：《实用医学杂志》2017年12期

【摘要】：目的:评价"一站式杂交技术"在凶险型前置胎盘患者治疗中的应用价值。方法:12例凶险型前置胎盘患者在杂交手术室同期行剖宫产和腹主动脉或髂内动脉球囊导管阻断(即杂交技术)。另外选择先在介入室预置髂内动脉球囊随后转手术室行剖宫产,术中充盈球囊阻断髂内动脉的12例凶险型前置胎盘病例作为对照组。术中严密观察血压、心率等血流动力学指标,比较两组手术时间、术中出血量、输血量、输液量、尿量、术后24 h内出血量、子宫切除率及新生儿情况等。结果:杂交手术组术中血压、心率等指标较对照组稳定,手术时间(72±8)min,术中出血量(620±95)mL、输血量(550±40)mL、输液量(1 850±160)mL、术后24 h内出血量(75±9)mL,均显著低于对照组(均P0.05);两组术后均无严重并发症,新生儿出生时Apgar评分、体质量等指标比较差异无显著性(均P0.05)。结论:"一站式杂交技术"对控制凶险型前置胎盘患者术中出血的作用明显,值得在有条件的医院推广。
[Abstract]:Objective: to evaluate the value of one-stop hybridization in the treatment of dangerous placenta previa. Methods 12 cases of menacing placenta previa were performed caesarean section and balloon occlusion of abdominal aorta or internal iliac artery in hybrid operation room (hybrid technique). In addition, 12 cases of dangerous placenta previa were selected as control group, in which the internal iliac artery was prepositioned in the interventional chamber and then transferred to the operating room for cesarean section, and the internal iliac artery was blocked by filling the balloon during the operation. The hemodynamic indexes such as blood pressure and heart rate were observed closely during operation. The operation time, intraoperative blood loss, transfusion volume, urine volume, bleeding volume within 24 hours after operation, hysterectomy rate and neonatal condition were compared between the two groups. Results: the blood pressure and heart rate in the hybrid operation group were more stable than those in the control group. The operation time was (72 卤8) min, the intraoperative blood loss was (620 卤95) mL, the blood transfusion volume was (550 卤40) mL, the transfusion volume was (1.850 卤160) mL, and the blood loss volume was (75 卤9) mL within 24 hours after operation, which was significantly lower than that in the control group (P0.05). There was no significant difference in neonatal Apgar score and body mass (P0.05). Conclusion: one-stop hybridization technique has obvious effect on the control of intraoperative bleeding in patients with dangerous placenta previa, and it is worth popularizing in conditional hospitals.
【作者单位】：海南省人民医院产科;海南省人民医院放射介入科;
【基金】：海南省自然科学基金(编号:琼科814320) 海南省卫生厅普通科研项目(编号:琼卫13A210303)
【分类号】：R714.2

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