双侧髂内动脉球囊封堵在凶险性前置胎盘剖宫产术中的应用分析

Analysis of the application of balloon occlusion of internal iliac artery in cesarean section parturients of dangerous placenta previa

目的分析双侧髂内动脉球囊封堵在凶险性前置胎盘剖宫产术中的应用效果。方法选择2016年1月至2017年12月广安市人民医院收治的凶险性前置胎盘剖宫产产妇92例为研究对象,采用随机数表法将入选产妇分为观察组(47例)和对照组(45例),对照组产妇给予腹主动脉球囊置管,观察组产妇给予双侧髂内动脉球囊封堵,比较两组产妇术中和术后情况、新生儿出生指标和术后并发症发生率。结果观察组产妇剖宫产手术时间和术后住院天数均显著短于对照组(均P<0.05),术中和术后出血量均显著少于对照组(均P<0.05),并发症发生率显著低于对照组(P<0.05),新生儿Apgar评分显著高于对照组(P<0.05),两组新生儿出生体重和出生身高比较差异均无统计学意义(均P>0.05)。结论双侧髂内动脉球囊封堵术可有效减少凶险性前置胎盘剖宫产产妇术中和术后出血量,缩短手术时间,降低产妇子宫切除风险,安全性较高,值得临床推广。

Objective To analyze the application of balloon occlusion of internal iliac artery in cesarean section parturients of dang erous placenta previa.Method 92 parturients with dangerous placenta previa undergoing cesarean section admitted to Guang'an Municipal People's Hospital from January 2016 to December 2017 were selected as the research objects.The selected parturients were divided into observation group(47 cases)and control group(45 cases)by random number table method.Control group parturients were given abdominal aorta balloon catheter,and observation group parturients were given bilateral internal iliac artery balloon occlusion.The intraoperative and postoperative conditions,neonatal birth index and postoperative complications of the two groups were compared.Result The cesarean section operation time and postoperative hospital stay in observation group were significantly shorter than those in control group(all P<0.05),the intraoperative and postoperative blood loss were significantly less than those in control group(all P<0.05),the incidence of complications was significantly lower than that of control group(P<0.05),Apgar score was significantly higher than that of control group(P<0.05),and there was no significant difference in the birth weight and birth height between the two groups(all P>0.05).Conclusion Balloon occlusion of bilateral internal iliac arteries can effectively reduce the amount of hemorrhage during and after cesarean section of dangerous placenta previa,shorten the operation time and reduce the risk of hystere ctomy for parturients.It is safe and worthy of clinical promotion.