超声引导下髂内动脉Fogarty取栓球囊阻断术用于前置胎盘剖宫产中的应用价值  

The Value of Ultrasound-guided Fogarty Thrombectomy Balloon Block of Internal Iliac artery for Cesarean Section of Placenta Previa

作　　者：郭彦娜 Guo Yanna(Nanyang City Wolong District Maternal and Child Health Care Hospital Maternity and Health Care Department,473000)

机构地区：[1]南阳市卧龙区妇幼保健院孕产保健科,河南南阳473000

出　　处：《哈尔滨医药》2023年第2期16-18,共3页Harbin Medical Journal

摘　　要：目的探讨超声引导下髂内动脉Fogarty取栓球囊阻断术用于前置胎盘剖宫产中的应用价值。方法选取剖宫产的前置胎盘患者62例,按照随机数字表达法分为观察组与对照组,各31例。观察组在超声引导下行髂内动脉Fogarty取栓球囊阻断术,对照组行常规PTA普通扩张球囊阻断术,比较两组患者术中指标、术后指标差异。结果在剖宫产术中,观察组术中输血率(41.94%)、出血量、输血量、手术时间均低于对照组(P<0.05),子宫动脉栓塞率(35.48%)与对照组(51.61%),差异无统计学意义(P>0.05)。观察组术后子宫切除率、不良结局率低于对照组(P<0.05)。结论超声引导下髂内动脉Fogarty取栓球囊阻断术能有效缩短前置胎盘患者剖宫产手术时间,降低患者剖宫产术中出血量与输血量,对提升前置胎盘剖宫产术中安全性具有积极作用。To investigate the value of ultrasound-guided Fogarty balloon occlusion of the internal iliac artery for placenta previa cesarean section.Methods 62 patients with placenta previa undergoing cesarean section was selected divided into observation group and 31 control group.The observation group performed ultrasound-guided Fogarty thrombolysis balloon block in the internal iliac artery,and the control group performed conventional PTA ordinary dilated balloon block to compare the differences in intraoperative and postoperative indicators between the two groups.Results During cesarean section,the intraoperative transfusion rate(41.94%),blood transfusion and operation time were lower than the control group(P 0.05).The postoperative hysterectomy rate and adverse outcome rate in the observed group were lower than that in the control group.

关 键 词：前置胎盘 髂内动脉球囊阻断术 剖宫产 临床结局 

分 类 号：R714.56[医药卫生—妇产科学]