双侧髂内动脉预留球囊联合栓塞术在凶险型前置胎盘剖宫产术中的临床应用

Clinical Application of Bilateral Internal Iliac Artery Reserved Balloon and Embolization in Caesarean Section With Dangerous Placenta Previa

目的探究在凶险型前置胎盘剖宫产术中应用双侧髂内动脉预留球囊联合栓塞术的效果。方法临床纳入2018年4—10月我院接收的凶险型前置胎盘产妇共26例,采取数字表法随机分成两组各13例,对照组行常规剖宫产,观察组行剖宫产与双侧髂内动脉预留球囊联合栓塞术,对两组术中和术后情况进行观察。结果观察组术中出血量与对照组相比明显较少,手术时间和住院时间与对照组相比明显较短,并发症明显少于对照组,差异具有统计学意义,P <0.05。结论在凶险型前置胎盘剖宫产术中应用双侧髂内动脉预留球囊联合栓塞术效果显著,能减少患者术中出血量,缩短其手术及住院时间,并发症较少。

Objective To explore the effect of bilateral internal iliac artery reserved balloon and embolization in dangerous placenta previa cesarean section.Methods A total of 26 perilous placenta previa mothers were enrolled in our hospital from April to October 2018.They were randomly divided into two groups with 13 cases in each group.The control group was given routine cesarean section,while the observation group was given bilateral internal iliac artery reserved balloon and embolization.The intraoperative and postoperative conditions of the two groups were observed.Results The amount of bleeding in the observation group was significantly less than that in the control group,the operation time and hospitalization time were significantly shorter than that in the control group,and the occurrence of complications was significantly less than that in the control group,the difference was significant,P < 0.05.Conclusion The application of bilateral internal iliac artery reserved balloon plus embolization in caesarean section of dangerous placenta previa has a remarkable effect.It can reduce the blood volume,shorten the operation and hospitalization time,and has fewer complications.