双侧髂内动脉球囊封堵术控制凶险性前置胎盘剖宫产术中出血的临床分析

Clinical Analysis of Internal Ilica Artery Balloon Occlusion Surgery in Controlling the Intraoperative Bleeding of Dangerous Placenta Previa Cesarean Delivery

目的讨论研究双侧髂内动脉球囊封堵术对治疗与控制凶险性前置胎盘剖宫产术中出血的临床疗效与意义。方法方便选择该院科2016年1—12月产科诊断为凶险性前置胎盘徐行剖宫产术患者100例,随机分为A、B两组,各50例。A组患者行常规剖宫产术治疗;B组患者联合双侧髂内动脉球囊封堵术治疗。比较两组患者采用不同手术方式治疗后术中手术情况,恢复时间及妊娠结局,相关并发症发生概率等指标。结果 B组术中出血量(1 064.3±266.7)mL及术中输血量(347.3±100.3)mL均显著低于A组(2 201.3±700.6)、(1 237.3±400.1)mL(P<0.05);B组患者婴儿新生儿评分(8.75±0.27)分与A组(8.38±0.93)分,差异无统计学意义(P>0.05)。结论行双侧髂内动脉球囊封堵术可显著减少手术过程中的出血量及输血量;同时可显著缩短术后患者恢复时间,降低各类并发症发生概率并减少子宫切除风险具有重要意义。

Objective To discuss the clinical curative effect and significance of internal ilica artery balloon occlusion surgery in controlling the intraoperative bleeding of dangerous placenta previa cesarean delivery.Methods 100 cases of patients with dangerous placenta previa cesarean delivery in our hospital from January to December 2016 were convenient selected and randomly divided into two groups with 50 cases in each,the group A adopted the routine cesarean delivery,while the group B adopted the internal ilica artery balloon occlusion surgery on the basis of the group A,and the intraoperative operation,recovery time,pregnant outcome and occurrence probability of related complications were compared between the two groups.Results The intraoperative bleeding amount and intraoperative infusion amount in the group B were obviously lower than those in the group A[（1 064.3±266.7）mL,（347.3±100.3）mL vs（2 201.3±700.6）mL,（1 237.3±400.1）mL]（P〈0.05）,and there was no obvious difference in the newborns apgar＇s score between the two groups[（8.75±0.27）point vs（8.38±0.93）point]（P〈0.05）.Conclusion The internal ilica artery balloon occlusion surgery can obviously reduce the intraoperative bleeding amount and infusion amount,obviously shorten the recovery time of patients after operation,reduce the occurrence probability of various complications and reduce the incision risks of uterus,which is of important significance.