腹主动脉球囊阻断在凶险性前置胎盘剖宫产术中的应用效果分析

Application effect of Balloon Occlusion of Abdominal Aorta on the Dangerous Placenta Previa Patients Treated by Cesarean Section

目的:探讨腹主动脉球囊阻断在凶险性前置胎盘剖宫产术中的应用效果。方法:选取2016年10月~2018年6月我院收治的82例凶险性前置胎盘剖宫产术产妇为研究对象,将其随机分为对照组和观察组,每组41例。对照组给予常规剖宫产手术,观察组则在术前进行腹主动脉球囊预置。比较两组的术中出血量、手术时间、子宫切除率、住院时间、1 min及5 min Apgar评分、手术前后的卵巢功能指标。结果:观察组的术中出血量和子宫切除率均明显低于对照组(P<0.05),手术时间及住院时间明显短于对照组(P<0.05),而两组的1 min及5 min Apgar评分、术前和术后血清卵泡生成激素(FSH)、雌二醇(E2)及黄体生成激素(LH)水平比较差异均无统计学意义(P>0.05)。结论:腹主动脉球囊阻断在凶险性前置胎盘剖宫产术中的应用效果较好,且未对产妇卵巢功能状态造成不良影响,安全性高。

Objective: To study the application effect of balloon occlusion of abdominal aorta in the patients with cesarean section for dangerous placenta previa. Methods: 82 patients with cesarean section for dangerous placenta previa from October 2016 to June 2018 were chosen for the study,and they were randomly divided into control group and observation group with 41 cases each group. The control group were with routine cesarean section, the observation group were with preoperative balloon occlusion of abdominal aorta. Then the intraoperative blood loss, operation time, hysterectomy rates, hospitalization time, Apgar score at 1 min and 5 min, ovarian function indexes before and after the operation of two groups were compared. Results: The intraoperative blood loss and the hysterectomy rate of observation group were lower than that of control group(P<0.05), the operation time and hospitalization time were much shorter than those of control group(P<0.05). The Apgar score at 1 min and 5 min as well as the ovarian function indexes of two groups before and after the operation were compared, the differences were not statistically significant(P>0.05). Conclusion: The balloon occlusion of abdominal aorta has better effect in patients with cesarean section for dangerous placenta previa, with no adverse effect for the ovarian function of parturients, which is a safe method.