探讨凶险性前置胎盘剖宫产术中应用不同平面动脉球囊阻断对缩短手术时间以及住院时间所发挥的作用  

Exploring the Effect of Different Plane Arterial Balloon Occlusion on Shortening Surgical Time and Hospitalization time in Dangerous Placenta Previa Cesarean Section

作　　者：李新秋 李鲲 吴峰[1] Xinqiu Li;Kun Li;Feng Wu(Renhuai People's Hospital,Renhuai,Guizhou 565400)

机构地区：[1]仁怀市人民医院,贵州仁怀565400

出　　处：《医学研究前沿》2025年第2期25-27,共3页Frontiers of Medical Research

基　　金：仁怀市科技计划项目(项目编号:仁科计划(2024)019-10号)。

摘　　要：目的目的分析与研究凶险性前置胎盘剖宫产术中应用不同平面动脉球囊阻断对缩短手术时间以及住院时间所发挥的作用。方法方法研究对象为2024年11月至2025年5月我院妇产科采用剖宫产治疗的120例凶险性前置胎盘孕妇,按照不同的治疗方法分为四组,每组30例。A组采用肾上腹主动脉球囊阻断术,B组采用肾下腹主动脉球囊阻断术,C组采用双侧髂总动脉球囊阻断术,D组采用双侧髂内动脉球囊临时阻断术,比较治疗效果。结果结果A组、B组的透视时间、放射剂量、术中出血量和术中输血量均低于C组、D组(P<0.05),各组手术时间、住院时间无明显差异(P>0.05);各组新生儿Apgar评分无明显差异(P>0.05);各组并发症发生率无明显差异(P>0.05)。结论结论凶险性前置胎盘剖宫产术治疗中应用肾上腹和肾下腹主动脉球囊阻断术的安全性高于总动脉球囊阻断术和双侧髂内动脉球囊临时阻断术,有助于减少术中出血量和输血量,其辐射剂量小,可作为优选治疗方法。Objective To analyze and study the effect of different plane arterial balloon occlusion on shortening surgical time and hospitalization time in dangerous placenta previa cesarean section.Method The research subjects were 120 pregnant women with severe placenta previa who underwent cesarean section treatment in our obstetrics and gynecology department from November 2024 to May 2025.They were divided into four groups according to different treatment methods,with 30 cases in each group.Group A underwent balloon occlusion of the renal upper abdominal aorta,Group B underwent balloon occlusion of the renal lower abdominal aorta,Group C underwent balloon occlusion of the bilateral common iliac arteries,and Group D underwent temporary balloon occlusion of the bilateral internal iliac arteries.The treatment effects were compared.Result The fluoroscopy time,radiation dose,intraoperative blood loss,and intraoperative blood transfusion volume of Group A and Group B were all lower than those of Group C and Group D(P<0.05),while there was no significant difference in surgical time and hospitalization time among the groups(P>0.05);There was no significant difference in Apgar scores among the groups of newborns(P>0.05);There was no significant difference in the incidence of complications among the groups(P>0.05).Conclusion The safety of using renal upper and lower abdominal aortic balloon occlusion in the treatment of dangerous placenta previa cesarean section is higher than that of total artery balloon occlusion and bilateral internal iliac artery balloon occlusion,which helps reduce intraoperative bleeding and blood transfusion.Its radiation dose is small and can be used as the preferred treatment method.

关 键 词：凶险性前置胎盘 剖宫产术 腹主动脉球囊阻断术 髂内动脉球囊阻断术 

分 类 号：R719.8[医药卫生—妇产科学]