低位腹主动脉外阻断术与腹主动脉预置球囊内阻断术在凶险性前置胎盘剖宫产术中的疗效分析  

Analysis of Curative effect of low-position abdominal aortic external occlusion and abdomi⁃nal aortic pre-balloon occlusionon dangerous placenta previaduring cesarean section

作　　者：吴丽英 韦向京 刘冬艳 韦汝凤 陈兆菁 Wu Liying;Wei Xiangjing;Liu Dongyan;Wei Rufeng;Chen Zhaojing(The First People's Hospital of Hechi City,Hechi 546300,China)

机构地区：[1]广西河池市第一人民医院,河池546300

出　　处：《广西医科大学学报》2021年第8期1595-1598,共4页Journal of Guangxi Medical University

基　　金：广西卫生与计划生育委员会医药卫生科研课题(No.Z2014344)。

摘　　要：目的:探讨低位腹主动脉外阻断术与腹主动脉预置球囊内阻断术应用于凶险性前置胎盘(PPP)剖宫产术中的疗效。方法:回顾性分析2014年1月至2019年12月本院收治的94例PPP患者,根据不同术式分为观察组48例和对照组46例,观察组采用低位腹主动脉外阻断术,对照组采用腹主动脉球囊阻断术,比较两种方式的术中手术时间、术中出血量、输血量、术后住院时间、住院费用及并发症和术后新生儿Apgar评分差异。结果:观察组在手术操作时间、术中出血量、浓缩红细胞输血量、术后住院时间、住院费用方面效果均优于对照组(P<0.05);两组患者的并发症及新生儿1 min、5 min Apgar评分比较,差异均无统计学意义(均P>0.05)。结论:有效控制PPP剖宫产术中出血,行低位腹主动脉外阻断术效果更为显著。Objective:To explore the curative effect of low-position abdominal aortic external occlusion and abdominal aortic pre-balloon occlusion on dangerous placenta previa(PPP)during cesarean section.Methods:A total of 94 PPP patients treated in our hospital from January 2014 to December 2019 were retrospectively analyzed,and divided into an observation group(48 cases)and a control group(46 cases)according to different operation methods.The patients in the observation group received low-position abdominal aorta external occlusion,and those in the control group received abdominal aortic pre-balloon occlusion.The operation time,intraoperative blood loss,intraoperative blood transfusion,postoperative hospital days,hospitalization costs,complications,and newborn Apgar score were compared.Results:The operation time,intraoperative blood loss,concentrated red blood cell transfusion,postoperative hospital days,and hospitalization costs were better in the observation group than those in the control group(P<0.05).There were no significant differences in the complications and Apgar scores of newborns at 1 min and 5 min between the two groups(P>0.05).Conclusion:Low abdominal aortic occlusion was more effective in controlling bleeding during cesarean section for PPP.

关 键 词：凶险性前置胎盘 剖宫产 腹主动脉外阻断术 腹主动脉球囊阻断术 

分 类 号：R719.8[医药卫生—妇产科学]