腹主动脉球囊阻断术在凶险性前置胎盘合并胎盘植入孕妇剖宫产术中的应用效果

Effect of abdominal aortic balloon occlusion in cesarean section of sinister placenta previa with placenta implantation

目的探讨腹主动脉球囊阻断术应用于凶险性前置胎盘合并胎盘植入孕妇剖宫产术的效果及安全性。方法选择2017年7月至2019年7月本院行剖宫产分娩的凶险性前置胎盘合并胎盘植入孕妇83例,按照入院先后分为对照组41例和研究组42例。对照组直接行剖宫产手术;研究组则在剖宫产术前行腹主动脉球囊导管预置术,术中将腹主动脉短暂阻断。对比两组患者术中出血量、输血量及子宫切除情况,观察新生儿情况及术后并发症。结果研究组孕妇的术中出血量、输血量、子宫切除率低于对照组(P<0.05);两组术后并发症、新生儿1min与5min Apgar评分及出生后体质量对比差异无统计学意义(P>0.05)。结论腹主动脉球囊阻断术可减少凶险性前置胎盘合并胎盘植入孕妇剖宫产术中的出血量,可保留孕妇子宫,安全性高。

Objective To investigate the effect and safety of abdominal aortic balloon occlusion in cesarean section of sinister placenta previa with placenta implantation.Methods From July 2017 to July 2019,83 pregnant women with placenta previa and placenta accreta who underwent cesarean delivery in our hospital were selected and divided into control group(41 cases)and study group(42 cases)according to the order of admission.The control group performed the operation directly,and the study group underwent abdominal aortic balloon catheter preset procedure before cesarean delivery.The intraoperative blood loss,blood transfusion and hysterectomy were compared between the two groups,and the neonatal situation and postoperative complications were observed.Results The intraoperative blood loss,blood transfusion and hysterectomy rate of the pregnant women in the study group were significantly lower than those in the control group(P<0.05).There was no significant difference in postoperative complications,neonatal 1 min and 5 min Apgar scores,and postnatal mass ratios between the two groups(P>0.05).Conclusion Abdominal aortic balloon occlusion can reduce the amount of bleeding in cesarean section of pregnant women with placenta previa and placenta implantation.It can preserve the uterus of pregnant women and has high safety.