主动脉球囊阻断术辅助凶险性前置胎盘剖宫产术的临床效果研究  

Study of clinical effect of abdominal aortic arterial balloon occlusion in assisted with cesarean section of sinister placenta previa

作　　者：潘春红[1] 李妹燕[2] 岑炳奎[1] 吴玉花[1] 卢炳益[1] 李力[3] PAN Chunhong;LI Meiyan;CEN Bingkui;WU Yuhua;LU Bingyi;LI Li(Department of Obstetrics,Gynecology and Intervention,Baise Municipal People′s Hospital,Baise,Guangxi 533000,China;Department of Obstetrics and Gynecology,Affiliated Hospital of Youjiang Ethnic Medical College,Baise,Guangxi 533000,China;Department of Obstetrics and Ggynecology,Institute of Field Surgery Research,Daping Hospital,Third Military Medical University,Chongqing 400016,China)

机构地区：[1]广西壮族自治区百色市人民医院妇产科及介入科,广西百色533000 [2]右江民族医学院附属医院妇产科,广西百色533000 [3]第三军医大学大坪医院野战外科研究所妇产科,重庆400016

出　　处：《重庆医学》2020年第8期1285-1288,共4页Chongqing medicine

基　　金：广西壮族自治区百色市市校科技合作项目(百科计20170812)。

摘　　要：目的探讨通过腹主动脉球囊阻断术辅助凶险性前置胎盘剖宫产术的临床效果。方法选取2017年1月至2018年12月在百色市人民医院及右江民族医学院附属医院住院分娩的凶险性前置胎盘或胎盘植入高危孕妇的剖宫产139例,其中选择传统治疗方法者作为对照组(61例),选择术前行腹主动脉球囊临时置入术者作为治疗组(78例)。比较两组患者手术时间、术中出血量、术中输血量和行子宫切除术出血量等。结果治疗组的手术时间(70.20±30.00)min、术中出血量(890.00±390.00)mL、术中输血量(720.00±246.00)mL和行子宫切除术出血量(2100.00±210.00)mL与对照组比较差异均有统计学意义(t=13.781、21.114、5.081、29.172,P<0.01),治疗组均低于对照组。结论在凶险性前置胎盘剖宫术中实施腹主动脉球囊阻断术的临床效果更佳,能缩短手术时间、减少术中出血量和输血量,以及行子宫切除术的出血量。Objective To investigate the clinical effect of abdominal aortic arterial balloon occlusion in assisted with cesarean section of sinister placenta previa.Methods A total of high-risk 139 pregnant women of cesarean section due to sinister placenta previa or placenta implantation hospitalized in Affiliated Hospital of Youjiang Ethnic Medical College from January 2017 to February 2018 were selected.Among them,the cases selecting the traditional treatment method served as the control group(n=61)and those selecting preoperative abdominal aortic arterial balloon temporary implantation served as the study group(n=78).The operative time,intraoperative blood loss volume,intraoperative blood transfusion volume,and bleeding amount of hysterectomy were compared between the two groups.Results The operation time in the study group was(70.20±30.00)min,intraoperative blood loss volume was(890.00±390.00)mL,intraoperative blood transfusion volume was(720.00±246.00)mL and blood loss volume of hysterectomy was(2100.00±210.00)mL,which showed the statistical differences compared with those in the control group(t=13.781,21.114,5.081,29.172,P<0.01).The above indicators of the study group were lower than those of the control group.Conclusion Implementing the abdominal aortic balloon occlusion operation in cesarean section of sinister placenta previa has better clinical effect,can shorten the operation time,reduce the intraoperative bleeding amount,blood transfusion amount and bleeding amount of hysterectomy.

关 键 词：腹主动脉球囊阻断术 凶险性前置胎盘 剖宫产 临床效果 

分 类 号：R714[医药卫生—妇产科学]