髂血管球囊预置用于凶险性前置胎盘剖宫产对出血量、并发症及新生儿结局的影响  

Influence of Iliac Vascular Balloon Preset for Cesarean Section of Pernicious Placenta Previa on Bleeding Volume,Complications and neonatal Outcomes

作　　者：李倩 邵丹卉 赵童童 孙礼强 LI Qian;SHAO Danhui;ZHAO Tongtong;SUN Liqiang(Department of Obstetrics,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221006,China)

机构地区：[1]徐州医科大学附属医院产科,江苏徐州221006

出　　处：《生物医学工程学进展》2024年第4期405-410,共6页Progress in Biomedical Engineering

摘　　要：目的探究髂血管球囊预置用于凶险性前置胎盘(PPP)剖宫产对出血量、并发症及新生儿结局的影响。方法回顾性分析2021年1月1日至2024年1月31日徐州医科大学附属医院产科收治的PPP剖宫产患者临床资料,根据止血方法的不同将其分为传统组(传统方法止血)和球囊组(髂内动脉球囊预置后行剖宫产术),应用倾向性匹配评分法(卡钳值0.01,1:1)匹配两组,每组各纳入40例患者。比较两组患者的手术指标、术中及术后出血量、输血例数和输血量、新生儿结局(Apgar评分、体重)、术后并发症(产后发热、子宫切除、切口感染)。结果球囊组手术时间、住院时间均低于传统组(P<0.05),术后体温高于传统组(P<0.05);球囊组术中出血量、产后12h出血量、产后24h出血量均低于传统组(P<0.05);球囊组输血例数和输血量均低于传统组(P<0.05);球囊组新生儿出生1min、出生5min Apgar评分均高于传统组(P<0.05),组间新生儿出生时体重比较无显著差异(P>0.05);球囊组并发症发生率(2.50%vs 27.50%)低于传统组(P<0.05)。结论髂血管球囊预置应用于PPP剖腹产患者,不仅可以有效降低术中、术后出血量,还可以改善新生儿结局,术后并发症较少。Objective To explore the influence of iliac vascular balloon preset on bleeding volume,complications and neonatal outcomes in cesarean section of pernicious placenta previa(PPP).Methods The clinical data of patients with PPP cesarean section admitted to department of obstetrics of the Affiliated Hospital of Xuzhou Medical University were retrospectively analyzed from January 1,2021 to January 31,2024.According to different hemostatic methods,they were divided into traditional group(traditional hemostasis)and balloon group(cesarean section after preset internal iliac artery balloon).The propensity score matching method(caliper=0.01,at a ratio of 1:1)was used to match the two groups,and 40 patients were included in each group.The surgical indicators,intraoperative and postoperative bleeding volumes,the number of blood transfusion cases and blood transfusion volume,neonatal outcomes(Apgar score,body weight)and postoperative complications(postpartum fever,hysterectomy,incision infection)were compared between the two groups.Results The surgical time and hospitalization time in balloon group were shorter than those in traditional group(P<0.05),and the postoperative body temperature was higher than that in traditional group(P<0.05).The intraoperative bleeding volume,bleeding volume at 12 h after delivery and bleeding volume at 24 h after delivery in balloon group were less than those in traditional group(P<0.05),and the blood transfusion rate and average blood transfusion volume were lower or less than those in traditional group(P<0.05).The neonatal Apgar scores at 1 min and 5 min after birth in balloon group were higher than those in traditional group(P<0.05),but there was no significant difference in neonatal birth weight between the two groups(P>0.05).The total incidence rate of complications in balloon group was lower than that in traditional group(2.50%vs 27.50%)(P<0.05).Conclusions The application of iliac vascular balloon preset in patients with PPP cesarean section can not only effectively reduce the intraoperat

关 键 词：凶险性前置胎盘 髂血管球囊预置 剖宫产 止血 

分 类 号：R719.1[医药卫生—妇产科学]