腹主动脉球囊阻断用于凶险性前置胎盘的临床预后分析及研究

Clinical prognostic analysis of abdominal aortic balloon occlusion in the treatment of dangerous placenta previa

目的研究探讨腹主动脉球囊阻断用于凶险性前置胎盘的临床效果及预后。方法选择2015年1月至2018年5月河北医科大学第二医院产科86例凶险性前置胎盘患者进行回顾性研究,根据治疗方法分为对照组(直接实施剖宫产手术,43例)、观察组(先实施腹主动脉球囊阻断,再行剖宫产手术,43例),比较两组的手术情况、术中低体温发生率、子宫切除率、术后并发症发生率、术后恢复情况。结果 (1)观察组的手术用时、术中出血量、术中输血量均少于对照组(P <0.05);(2)观察组的术中低体温发生率、子宫切除率均低于对照组(P <0.05),其产褥期感染、产后出血等发生率均低于对照组(P <0.05),其子宫恢复时间、恶露消失时间、住院时间均短于对照组(P <0.05)。结论采用腹主动脉球囊阻断技术治疗凶险性前置胎盘,可减少子宫切除和术后并发症。

Objective To study the clinical effect and prognosis of abdominal aortic balloon occlusion in the treatment of severe placenta previa.Methods From January 2015 to May 2018,86 patients with perilous placenta previa in the Obstetrics department of Shijiazhuang Hebei Medical University,second Hospital,were selected and divided into control group(cesarean section directly,43 cases)and the observation group(abdominal aortic balloon occlusion,then cesarean section,43 cases).The operation time,hypothermia,hysterectomy rate,postoperative complications and postoperative recovery were compared between the two groups.Results(1)The amount of intraoperative blood loss and blood transfusion in the observation group were lower than those in the control group(P<0.05).(2)The incidence of hypothermia,puerperal infection,postpartum hemorrhage and hysterectomy rate in the observation group were all lower(P<0.05).The recovery time of uterus and lochia,the time of hospitalization were shorter(P<0.05).Conclusion Abdominal aortic balloon occlusion can reduce hysterectomy and postoperative complications.