“一站式”双介入技术在凶险性前置胎盘中的应用  

Application of “one-stop”dual interventional technique in pernicious placenta previa

作　　者：杜楠[1] 姚延娇 谢艳艳 卢丹 DU Nan;YAO Yanjiao;XIE Yanyan;LU Dan(Dalian Medical University,Dalian,Liaoning,116027;Clinical Medical College of Yangzhou University,Yangzhou,Jiangsu,225001)

机构地区：[1]大连医科大学,辽宁大连116027 [2]扬州大学临床医学院,江苏扬州225001

出　　处：《实用临床医药杂志》2020年第1期102-104,共3页Journal of Clinical Medicine in Practice

基　　金：江苏省妇幼科研基金项目(F201809);江苏省中医药科技发展计划项目(YB201972);江苏省扬州市科技计划项目(YZ2017075)

摘　　要：目的探讨“一站式”双介入技术在凶险性前置胎盘中的应用。方法回顾性分析2014年8月—2018年7苏北人民医院收治的46例凶险性前置胎盘孕妇临床资料,其中行子宫下段剖宫产术的20例孕妇为对照组,采用双侧髂内动脉球囊置入术联合子宫下段剖宫产术及选择性动脉栓塞术的26例孕妇为实验组。比较2组手术指标及术后并发症。结果实验组术中出血量、输血量及子宫切除率显著优于对照组(P<0.05)。2组术后出血量、住院时间、术后住院时间及新生儿窒息率无显著差异(P>0.05)。实验组孕妇术后腰、腹、臀痛发生率及腰腹痛持续时间均显著高于、长于对照组(P<0.05)。结论“一站式”双介入技术能有效降低凶险性前置胎盘出血量及子宫切除率,且安全性较好。Objective To explore the application of"one-stop"dual interventional technique in treatment of pernicious placenta previa.Methods The clinical data of 46 patients with pernicious placenta previa from August 2014 to July 2018 in Subei People′s Hospital was analyzed retrospectively.Among them,20 pregnant women underwent cesarean section of lower uterine segment were selected as control group,and 26 pregnant women underwent bilateral internal iliac artery balloon implantation combined with cesarean section of lower uterine segment and selective artery embolization were selected as experimental group.The surgical indexes and postoperative complications were compared between the two groups.Results The bleeding volume,blood transfusion volume and hysterectomy rate in the experimental group were significantly higher than those in the control group(P<0.05).There were no significant differences in the amount of bleeding,hospitalization time,postoperative hospitalization time and neonatal asphyxia rate between the two groups(P>0.05).The incidence rate of lumbago pain,abdominal pain and buttock pain as well as duration of lumbago and abdominal pain in experimental group were significantly higher or longer than those in control group(P<0.05).Conclusion The"one-stop"dual interventional technique,with higher safty can significantly reduce the blood loss and hysterectomy rate in patients with pernicious placenta previa.

关 键 词：凶险性前置胎盘 介入技术 子宫下段剖宫产术 子宫切除率 动脉栓塞术 

分 类 号：R271.1[医药卫生—中医妇科学]