髂内动脉球囊阻断术联合水囊压迫止血对凶险性前置胎盘患者卵巢血流参数的影响  

Effect of internal iliac artery balloon occlusion combined with water sac compression hemostasis on ovarian blood flow parameters in PPP patients

作　　者：牛丽 刘桂英 黄雪梅 杨娟娟 NIU Li;LIU Guiying;HUANG Xuemei;YANG Juanjuan(Department of Obstetrics,Fuyang Women's and Children's Hospital,Fuyang 236500,Anhui,China)

机构地区：[1]阜阳市妇女儿童医院产科,安徽阜阳236500

出　　处：《中国性科学》2022年第11期71-75,共5页Chinese Journal of Human Sexuality

基　　金：阜阳市卫生健康委员会(2019GF0900)。

摘　　要：目的探讨应用髂内动脉球囊阻断术联合水囊压迫止血治疗凶险性前置胎盘(PPP)患者的临床疗效及其对卵巢血流参数的影响。方法选取2021年3月至10月于阜阳市妇女儿童医院接受治疗的176例PPP患者作为研究对象,根据术中止血干预方式的不同分为联合治疗组和水囊压迫组,每组88例。比较两组术中及术后相关指标、卵巢指标等,采用Spearman相关系数分析PPP患者子宫切除结局与卵巢血流参数的相关性。结果联合治疗组球囊置入X线曝光时间、照射剂量较国际最低标准明显降低,联合治疗组并发症发生率、卵巢血流参数均明显低于水囊压迫组(P<0.05);两组术前及术后1周、1个月卵巢各项指标和组内不同时间段比较,差异具有统计学意义(P<0.05)。采用Spearman相关系数分析患者子宫切除结局与卵巢血流参数呈负相关(P<0.05)。结论髂内动脉球囊阻断术联合水囊压迫止血的治疗方式可有效降低PPP患者术中出血风险,缩短住院时间,降低并发症发生风险,并可促进患者卵巢功能快速恢复,降低子宫切除率。Objective To investigate the clinical efficacy of internal iliac artery balloon occlusion combined with water sac compression hemostasis in patients with pernicious placenta previa(PPP)and its influence on ovarian blood flow parameters.Methods A total of 176 PPP patients treated in Fuyang Women and Children's Hospital from March to October 2021 were selected as the research objects.According to the different intraoperative hemostatic intervention methods,they were divided into the combined treatment group and the water sac compression group,with 88 cases in each group.The intraoperative and postoperative related indicators and ovarian indicators were compared between the two groups.Spearman correlation coefficient was used to analyze the correlation between hysterectomy outcome and ovarian blood flow parameters in PPP patients.Results The X-ray exposure time and radiation dose of balloon implantation in the combined treatment group decreased significantly than the international minimum standard,and the incidence of complications and ovarian blood flow parameters in the combined treatment group decreased significantly than the water sac compression group(P<0.05).The comparison of ovarian indexes between the two groups before operation,1 week and 1 month after operation and at different time points within the group were all significantly different(P<0.05).Spearman correlation coefficient was used to analyze the negative correlation between hysterectomy outcome and ovarian blood flow parameters(P<0.05).Conclusions The combined treatment of balloon occlusion of internal iliac artery combined with water sac compression hemostasis can effectively reduce the risk of intraoperative bleeding,shorten the length of hospital stay and reduce the risk of complications,promote the rapid recovery of ovarian function and effectively reduce the hysterectomy rate of patients.

关 键 词：髂内动脉球囊阻断术 水囊压迫止血 凶险性前置胎盘 卵巢血流参数 

分 类 号：R714[医药卫生—妇产科学]