介入疗法与髂内动脉结扎术治疗凶险性前置胎盘剖宫产术患者的效果比较  

Comparison of effects of interventional therapy and internal iliac artery ligation in treatment of patients with sinister placenta previa undergoing cesarean section

作　　者：黄亚南 HUANG Ya'nan(Department of Obstetrics of Puyang Maternal and Child Health Hospital,Puyang 457000 Henan,China)

机构地区：[1]濮阳市妇幼保健院产科,河南濮阳457000

出　　处：《中国民康医学》2022年第2期138-140,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较介入疗法与髂内动脉结扎术治疗凶险性前置胎盘剖宫产术患者的效果。方法:选取60例凶险性前置胎盘患者为研究对象,按照随机数字表法分为对照组和观察组各30例。对照组给予髂内动脉结扎术治疗,观察组给予介入疗法,比较两组手术指标水平、并发症发生率、新生儿1 min和5 min Apgar评分。结果:观察组术中出血量和术后24 h出血量均少于对照组,手术时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.67%,低于对照组的33.33%,差异有统计学意义(P<0.05);两组新生儿1、5 min Apgar评分比较,差异均无统计学意义(P>0.05)。结论:介入疗法治疗凶险性前置胎盘剖宫产术患者可减少术中出血量和术后24 h出血量,缩短手术时间和住院时间,降低并发症发生率,效果优于髂内动脉结扎术治疗。Objective:To compare effects of interventional therapy and internal iliac artery ligation in treatment of patients with sinister placenta previa undergoing cesarean section.Methods:60 patients with sinister placenta previa were selected as the research objects,and were divided into control group and observation group according to the random number table method,30 cases in each.The control group was given internal iliac artery ligation,while the observation group was given interventional therapy.The levels of surgical indicators,the complication rate and the neonatal Apgar scores at 1 min and 5 min were compared between the two groups.Results:The intraoperative blood loss and 24 h postoperative blood loss in the observation group were less than those in the control group;the operation time and the hospitalization time were shorter than those in the control group;and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.67%,which was lower than 33.33%in the control group,and the difference was statistically significant(P<0.05).However,there were no significant differences in the neonatal Apgar scores between the two groups at 1 min and 5 min(P>0.05).Conclusions:Interventional therapy for the patients with sinister placenta previa undergoing cesarean section can reduce the intraoperative blood loss and the postoperative 24h blood loss,shorten the operation time and the hospitalization time,and reduce the incidence of complications.Moreover,it is superior to internal iliac artery ligation.

关 键 词：凶险性前置胎盘 剖宫产 介入疗法 髂内动脉结扎术 新生儿Apgar评分 

分 类 号：R719.8[医药卫生—妇产科学]