凶险性前置胎盘患者剖宫产术中行腹主动脉阻断球囊预植入术对其术后恢复情况的影响

Effects of pre-implantation of abdominal aortic occlusion balloon on postoperative recovery of patients with dangerous placenta previa in cesarean section

目的 探究凶险性前置胎盘患者剖宫产术中行腹主动脉阻断球囊预植入术对其术后恢复情况的影响.方法 回顾性收集2017年6月~2019年6月产科住院的凶险性前置胎盘产妇96例,其中64例在剖宫产前行腹主动脉阻断球囊预植入术作A组,32例仅行剖宫产术作为B组.比较两组术中情况及术后母体恢复情况.结果 A组术中出血量、手术时间、子宫切除率、住院时间及术后转ICU例数均低于B组,差异有统计学意义(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05),A组仅出现4例轻微的介入相关并发症.结论 凶险性前置胎盘患者剖宫产术前行腹主动脉阻断球囊植入术可有效控制术中出血,降低术中切除子宫风险,且有利于产妇术后恢复.

Objective To explore effects of pre-implanlalion of abdominal anrlir occlusion balloon(PI-AAOB)on postoperative recovery of patients with dangerous placenta previa(DPP)in cesarean sertinn.Methods A retrospective rollertion was performed on 96 DPP puerperae admitted to ohstelrirs deparlnienl from June 2017 to June 2019,inrluding 64 rases undergoing PI-AAOB before cesarean section(group A)and 32 rases uiulergoing cesarean section(group B).The intraoperative condition and postoperative maternal reroverv were compared between the two groups.Results The intraoperative blood loss,operation lime,hysterertomy rate,hospitalization time,and number of patients transferred into ICU after surgery were lower in group A than group B(P<0.05).There was no significant rlifferenre in incidence of postoperative compliralions between the two groups(P>0.05).In group A,there were only 4 rases with mild inlervenlion-relaled complications.Conclusion Conducting PIAAOB before caesarean serlion in DPP patients ran effectively control intraoperative bleeding,reduce intraoperative hysterertomy risk,beneficial to maternal postpartum recovery.