MRI指导下放置腹主动脉球囊对凶险性前置胎盘伴胎盘植入产妇剖宫产术中出血量的影响  

Effect of MRI-guided placement of abdominal aortic balloon in cesarean section on intraoperative blood loss in patients with dangerous placenta previa with placenta implantation

作　　者：路莉娟 雷利娜[1] 焦娜[1] 范丽丽[1] Lu Lijuan;Lei Lina;Jiao Na;Fan Lili(Department of Obstetrics,Kaiyuan Hospital,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院开元院区产科,471000

出　　处：《临床医学》2024年第11期12-15,共4页Clinical Medicine

摘　　要：目的 研究磁共振成像(MRI)指导下放置腹主动脉球囊对凶险性前置胎盘伴胎盘植入产妇剖宫产术中出血量的影响。方法 选取2021年10月至2023年10月河南科技大学第一附属医院开元院区收治的82例凶险性前置胎盘伴胎盘植入患者为研究对象,通过黑白双色球法随机均分为常规组与观察组,每组41例。常规组行常规剖宫产术处理,观察组先进行MRI检查后放置腹主动脉球囊,剖宫产分娩胎儿后充盈球囊再剥离胎盘。比较两组术中出血量和输血量、产妇术后并发症发生情况、不良结局发生情况及新生儿娩出1 min、5 min、10 min的Apgar评分。结果 观察组较常规组的术中出血量、输血量更低(P<0.05)。观察组的不良结局发生率(4.88%,2/41)较常规组(24.39%,10/41)更低(P<0.05)。观察组的产妇术后并发症发生率(4.88%,2/41)较常规组(26.83%,11/41)更低(P<0.05)。观察组较常规组新生儿娩出1 min、5 min的Apgar评分更高(P<0.05)。两组新生儿娩出10 min的Apgar评分比较,差异未见统计学意义(P>0.05)。结论 基于MRI指导下放置腹主动脉球囊能够明显降低凶险性前置胎盘伴胎盘植入患者术中出血量、输血量,缩短手术时间,降低产妇术后并发症发生率及不良结局发生率,提高新生儿娩出1 min、5 min的Apgar评分。Objective eTo investigate the effect of abdominal aortic balloon placement under MRI guidance in cesarean section on intraoperative blood loss in patients with dangerous placenta previa with placenta implantation.Methods A total of 82 patients with dangerous placenta previa with placenta implantation admitted to Kaiyuan Hospital,the First Affiliated Hospital of Henan University of Science and Technology from October 2021 to October 2023 were selected as the study objects,and were randomly divided into routine group and observation group by black and white two-color ball method,with 41 cases in each group.The conventional group was treated with routine cesarean section.The observation group underwent MRI examination and then placed abdominal aorta balloon.After cesarean section,the fetus was filled with balloon and the placenta was removed.The intraoperative blood loss,blood transfusion,postoperative complications,adverse outcomes and Apgar scores at 1 min,5 min and 10 min after delivery were compared between the two groups.Results The amount of blood loss during operation and blood transfusion in the observation group was lower than those in the conventional group(P<0.05).The incidence of adverse outcomes in observation group(4.88%,2/41)was lower than that in conventional group(24.39%,10/41)(P<0.05).The incidence of postoperative complications in the observation group(4.88%,2/41)was lower than that in the conventional group(26.83%,11/41)(P<0.05).The Apgar score in observation group was higher than that in conventional group at 1 min and 5 min after delivery(P<0.05).There was no significant difference in Apgar score at 10 min after delivery between the two groups(P>0.05).Conclusions The placement of abdominal aortic balloon under the guidance of MRI can significantly reduce the intraoperative blood loss and blood transfusion of patients with dangerous placenta previa and placenta implantation,which can shorten the operation time,reduce the incidence of complications and adverse outcomes after obstetrics and gyneco

关 键 词：磁共振成像 腹主动脉球囊 凶险性前置胎盘 出血量 

分 类 号：R719.8[医药卫生—妇产科学]