腹主动脉球囊预置在凶险性前置胎盘治疗中的效果观察  

Efficacy of abdominal aortic balloon prepositioning in the treatment of pernicious placenta praevia

作　　者：张婧 Zhang Jing(Department of Obstetric,Xiangzhou District People's Hospital of Xiangyang City,Hubei Province,Xiangyang 441100,China)

机构地区：[1]湖北省襄阳市襄州区人民医院产科,湖北襄阳441100

出　　处：《实用妇科内分泌电子杂志》2022年第16期50-52,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析凶险性前置胎盘治疗中采用腹主动脉球囊预置的价值。方法选择本院收治的60例凶险性前置胎盘患者为研究对象,采用电脑数字随机法分为两组,每组30例。对照组行髂内动脉球囊预置术,研究组行腹主动脉球囊预置术。比较两组围产期相关指标及球囊预置术相关指标。结果两组手术时间、术中出血量、术后体温及住院时间比较,差异无统计学意义(P>0.05)。研究组球囊预置时间、胎儿透视时间、曝光时间及放射剂量分别为(19.65±3.59)min、(8.67±2.06)s、(8.03±2.75)s、(2.23±0.18)mGy,均低于对照组的(33.24±4.86)min、(62.51±20.43)s、(65.73±18.62)s、(21.96±7.15)mGy,差异有统计学意义(P<0.05)。结论腹主动脉球囊预置和髂内动脉球囊预置均能起到良好的止血作用,在凶险性前置胎盘治疗中的作用明显,而前者操作时间及曝光时间均更短,且放射剂量更少,母婴安全性更高,值得临床推广使用。Objective To analyze the value of abdominal aortic balloon prepositioning in the treatment of pernicious placenta previa.Methods A total of 60 patients with pernicious placenta previa admitted to our hospital were selected as the research objects,and they were divided into two groups by computer numerical random method,with 30 cases in each group.Internal iliac artery balloon prepositioning was used in the control group,while abdominal aorta balloon prepositioning was used in the study group.The perinatal related indexes and balloon prepositioning related indexes were compared between the two groups.Results There were no significant differences in operation time,intraoperative blood loss,postoperative temperature and hospital stay between the two groups(P>0.05).The balloon presetting time,fetal fluoroscopy time,exposure time and radiation dose in the study group were(19.65±3.59)min,(8.67±2.06)s,(8.03±2.75)s,(2.23±0.18)mGy,respectively,which were lower than(33.24±4.86)min,(62.51±20.43)s,(65.73±18.62)s,(21.96±7.15)mGy in the control group,the differences were statistically significant(P<0.05).Conclusion Abdominal aortic balloon prepositioning and internal iliac artery balloon prepositioning can both play a good hemostatic effect,and play an obvious role in the treatment of pernicious placenta previa,while the former operation time and exposure time are shorter,and the radiation dose is less,and the maternal and infant safety is higher,which is worthy of clinical application.

关 键 词：腹主动脉球囊预置 髂内动脉球囊预置 凶险性前置胎盘 

分 类 号：R714.2[医药卫生—妇产科学]