球囊预置术在凶险性前置胎盘中效果的评估

Effect of pre-cesarean prophylactic balloon placement in pregnant women with pernicious placenta previa

目的:比较子宫动脉球囊预置术与传统剖宫产手术在凶险性前置胎盘患者中治疗效果的差异.方法:回顾性分析2012年1月至2019年12月期间在暨南大学附属第一医院剖宫产的凶险性前置胎盘的孕妇.比较球囊预置术与传统剖宫产手术在不同胎盘侵入深度的病例中出血量、输血量、子宫切除率的差异.结果:在胎盘粘连及胎盘植入的凶险性前置胎盘患者中,与传统剖宫产相比,双侧子宫动脉球囊预置术剖宫产在术中出血量、输血量、子宫切除率无统计学差异.在穿透型胎盘植入的凶险性前置胎盘患者中,与传统手术相比,球囊预置术剖宫产术中输血量具有统计学差异,子宫切除率无统计学差异.结论:双侧子宫动脉球囊预置术能有效降低穿透型凶险性前置胎盘患者术中输血量.

Objective:To compare the difference between pre-cesarean prophylactic balloon placement(PBP)in uterine artery and traditional cesarean in patients with pernicious placenta previa.Methods:A retrospective analysis was conducted on the pregnant with pernicious placenta previa performed cesarean section in the first affiliated hospital of Jinan university from January 2012 to December 2019.The difference between BPB and traditional cesarean section was compared in blood loss,blood transfusion and hysterectomy rate in cases with different placental invasion depths.Results:In the patients with pernicious placenta previa of placental adhesion and placental implantation,there was no significant difference between PBP in bilateral uterine artery and traditional cesarean section in intraoperative blood loss,blood transfusion and hysterectomy rate.In the patients with pernicious placenta previa of penetrating placenta implantation,there was significant difference between PBP and traditional operation in intraoperative blood transfusion while no significant difference in hysterectomy rate.Conclusion:BPB in bilateral uterine artery can significantly reduce the intraoperative blood transfusion in patients with penetrating pernicious placenta previa.