腹主动脉球囊阻断术对凶险性前置胎盘剖宫产术患者术中出血量及子宫切除率的影响  

Effect of abdominal aortic balloon occlusion on intraoperative blood loss and hysterectomy rate in patients with dangerous placenta previa cesarean section

作　　者：赵广超[1] 李林娟 李新新 Zhao Guangchao;Li Linjuan;Li Xinxin(The Sixth People’s Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]河南省郑州市第六人民医院妇产科,450000

出　　处：《中国实用医刊》2020年第16期77-80,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨腹主动脉球囊阻断术对凶险性前置胎盘剖宫产术患者术中出血量及子宫切除率的影响。方法回顾性分析郑州市第六人民医院2017年2月至2020年1月收治的76例凶险性前置胎盘剖宫产患者的临床资料,根据手术方式的不同分为观察组(38例)与对照组(38例)。对照组直接进行剖宫产术,观察组于剖宫产手术前1 h行腹主动脉球囊阻断术,比较两组围术指标、新生儿健康状况、子宫切除率及并发症发生率。结果观察组手术用时、术中出血量、术中输血量及总住院时间均低于对照组,差异有统计学意义(P<0.05);观察组健康状况极差、健康状况较差新生儿占比低于对照组,健康状况正常、非常健康新生儿占比高于对照组,但差异未见统计学意义(P>0.05);观察组子宫切除率低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,但差异未见统计学意义(P>0.05)。结论对凶险性前置胎盘剖宫产术患者实施腹主动脉球囊阻断术可有效减少术中出血量,缩短手术用时,降低子宫切除率,促进患者转归。Objective To investigate the effect of abdominal aorta balloon occlusion on intraoperative blood loss and uterine resection rate in patients with dangerous placenta previa cesarean section.Methods The clinical data of 76 patients with dangerous placenta previa admitted to the Sixth People’s Hospital of Zhengzhou from February 2017 to January 2020 were collected retrospectively.According to the surgical method,they were divided into observation group(38 cases)and control group(38 cases).The control group underwent cesarean section directly,and the observation group underwent abdominal aortic balloon occlusion 1 hour before cesarean section.Perioperative indicators,newborn health status,hysterectomy rate and incidence of complications were compared between the two groups.Results The operative time,intraoperative blood loss,intraoperative blood transfusion and total hospital stay in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Newborns in the observation group with poor health status and poor health status were lower than those in the control group,and newborns with normal health status and very healthy status were higher than those in the control group,with no statistically significant difference(P>0.05).The hysterectomy rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was not statistically significant(P>0.05).Conclusions Balloon occlusion of abdominal aorta can effectively reduce the amount of intraoperative blood loss,shorten the operation time,reduce the hysterectomy rate and promote the patient's outcome.

关 键 词：凶险性前置胎盘 腹主动脉球囊阻断术 术中出血量 子宫切除率 

分 类 号：R719.8[医药卫生—妇产科学]