摘要
目的探讨预防性腹主动脉球囊阻断术在植入性凶险型前置胎盘剖宫产中的作用。方法对2012年8月至2014年3月福建医科大学附属第一医院住院的20例植入性凶险型前置胎盘患者进行回顾性分析，将其中10例行腹主动脉球囊预置术（胎儿娩出后即扩张球囊1为研究组与同期10例未行腹主动脉球囊预置术患者进行对照。采用两独立样本￡检验及χ^2检验比较两组术中出血量、输血量、手术时间及相关并发症的差异结果。结果研究组与对照组相比，术中出血量分别为[（1290＋390）mL vs．（3660±846）mL，t=2．545]，输血量分别为[（720±246）mL vs．（2085±499）mL，t=2．455]，差异有统计学意义（P〈0．05）。手术时间分别为（108．0±39．3）min和（99．0±39．6）min，差异无统计学意义（P〉0．05）。研究组中发生肺炎1例，急性心衰1例，下肢静脉栓塞1例，对照组中发生DIC1例，呼吸衰竭1例。结论腹主动脉球囊预置术可有效控制植入性凶险型前置胎盘的术中出血及输血量。
Objective To discuss the efficacy of prophylactic abdominal aorta arteries balloon occlusion in cesarean section for pernicious placenta previa and placenta increta. Methods A retrospective analysis was conducted in 20 cases of pernicious placenta previa and placenta increta admitted to First Affiliated Hospital of Fujian Medical University from August 2012 to March 2014.The study group （n=10）underwent prophylactic abdominal aorta arteries balloon placement before cesarean section and occlusion after delivery.The control group（n=10） received conventional haemostasis druring cesarean section.The amount of blood loss and blood transfusion during the operation, operation time and complications of the two groups were compared through T test or Chi-square test. Results The volume of intraoperative hemor- rhage and the volume of intraoperative blood transfusion in the study group were compared with the control group [ （1290±390）mL vs. （3660±846）mL, t=2.545 ; （720±246）mL vs.（2085±499 ）mL, t=2.455], the difference being statistically sig- nificant（P 〈0.05）. There was no statistical difference on operation time between the two groups [（108.0±39.3 ）rain vs. （99.0±39.6）min, t=0.575, P 〉0.05]. In addition, one ease of pneumonia, one ease of acute heart failure and one ease of venous thrombosis in lower limbs occured in the study group, while one ease of disseminated intravascular coagulation and one case of respiratory failure were reported in the control group. Conclusion Prophylactic abdominal aorta arteries balloon occlusion is effective in reducing intraoperative blood loss and transfusion in patients with pernicious placen- ta previa and placenta increta.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2015年第11期1029-1033,共5页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
胎盘植入
凶险型前置胎盘
腹主动脉
球囊阻断
placenta increta
pernicious placenta previa
abdominal aorta arteries
balloon occlusion
