顺应性球囊腹主动脉阻断术用于胎盘植入患者剖宫产的效果  

Efficacy of prophylactic abdominal aorta compliance balloon occlusion in puerperants with placenta increta undergoing Caesarean section

作　　者：苏敏[1] 张玉泉[1] 花敏慧[1] 邱亚萍[1] 晓霄[1] 邓艳[1] 赵辉[2] 

机构地区：[1]南通大学附属医院妇产科,江苏省226001 [2]南通大学附属医院介入放射科,江苏省226001

出　　处：《江苏医药》2017年第24期1769-1772,F0003,共5页Jiangsu Medical Journal

摘　　要：目的总结顺应性球囊腹主动脉预置阻断术用于凶险性前置胎盘合并胎盘植入患者剖宫产的临床疗效。方法回顾性分析28例凶险性前置胎盘合并胎盘植入患者的临床资料。其中,14例行顺应性球囊腹主动脉预置阻断术(研究组),14例未行腹主动脉球囊预置术(对照组)。比较两组术中出血量、输血量、手术时间、新生儿Apgar评分、术后血红蛋白及红细胞压积、住院天数等差异。结果研究组术中出血量为(492±317)ml,少于对照组的(2411±1981)ml(P<0.05)。两组手术时间、新生儿Apgar评分和住院时间均无统计学差异(P>0.05)。研究组中未发生下肢动脉栓塞等并发症。结论顺应性球囊腹主动脉预置阻断术可有效控制凶险性前置胎盘合并胎盘植入的术中出血及输血量,争取保留子宫,保障母婴安全。Objective To investigate the efficacy of prophylactic abdominal aorta compliance balloon occlusion in the puerperants with placenta increta undergoing Caesarean section.Methods Clinical data of 28 cases with pernicious placenta previa and placenta increta underwent Caesarean section were retrospectively analyzed,of whom prophylactic abdominal aorta compliance balloon occlusion was performed in 14 case（group A）and was not in another 14 cases（group B）.The blood loss and blood transfusion during operation,operation time,Apgar score and hospital stay were compared between two groups.Results The blood loss during operation was less in group A than that in group B[（492±317）ml vs.（2411±1981）ml]（P〈0.05）.There were no significant differences in operation time,Apgar score and hospital stay between two groups（P〈0.05）.There was no case with arterial embolism in lower limbs in group A.Conclusion Prophylactic abdominal aorta compliance balloon occlusion can effectively reduce intraoperative blood loss and transfusion in the puerperants with placenta increta undergoing Caesarean section,which is beneficial to avoiding hysterectomy and protecting the safety of mother and baby.

关 键 词：腹主动脉球囊预置阻断术 凶险性前置胎盘 胎盘植入 

分 类 号：R719[医药卫生—妇产科学]