髂内动脉球囊预置术在凶险性前置胎盘剖宫产术中的应用

Application of Internal Iliac Artery Balloon Implantation in Cesarean Section for Dangerous Placenta Previa

目的探究髂内动脉球囊预置术应用于凶险性前置胎盘患者剖宫产中的效果,分析其临床可用价值。方法将2017年1月—2019年12月作为研究时段,对该院该时段内数据库进行资料分析确认,其中存在资料登记的76例凶险性前置胎盘患者作为研究对象,所有患者均应用剖宫产术进行终止妊娠,对所有产妇的一般资料录入Excel表格后,按照公式法进行两组均分,单组样本量设置为38。对照组产妇采用常规剖宫产术进行治疗,实验组产妇则应用髂内动脉球囊预置术进行剖宫产术配合,对比两组产妇的手术指标以及并发症发生状况,分析组间差异。结果该次研究结果中显示,两组患者的各项手术指标对比实验组患者明显优于对照组,差异有统计学意义(P<0.05)。而在该次实验结果中,实验组与对照组患者中均有不同程度的并发症发生状况,但总体来说,实验组患者的发生率更低,为3(7.89%),对照组的发生率为11(28.95%),差异有统计学意义(χ^(2)=5.604,P<0.05)。结论在对凶险性前置胎盘患者进行剖宫产时,选择髂内动脉球囊预置术进行手术配合,不仅能够有助于缩短手术时间,减小患者的术中出血量,降低子宫切除风险,还能有助于避免患者在手术后出现各种并发症。

Objective To explore the effect of internal iliac artery balloon placement in cesarean section in patients with dangerous placenta previa,and to analyze the clinical values.Methods The period from January 2017 to December 2019 was used as the study period.The database of the hospital during this period was analyzed and confirmed.Among them,76 patients with dangerous placenta previa with registered data were used as the research objects.All patients underwent cesarean section for termination of pregnancy.After entering the general data of all the mothers into the Excel table,the two groups were equally divided according to the formula method,and the sample size of the single group was set to 38.The women in the control group were treated with conventional cesarean section,and the women in the experimental group were treated with internal iliac artery balloon placement for cesarean section.The operative indicators and complications of the two groups were compared and the differences between the groups were analyzed.Results The results of this study showed that the comparison of various surgical indicators between the two groups of patients was significantly better than the control group in the experimental group,the difference was statistically significant(P<0.05).In the results of this experiment,patients in the experimental group and the control group had different degrees of complications,but overall,the incidence of patients in the experimental group was lower,at 3(7.89%).The rate was 11(28.95%),the difference was statistically significant(χ^(2)=5.604,P<0.05).Conclusion When performing cesarean section in patients with dangerous placenta previa,choosing internal iliac artery balloon placement for surgical cooperation can not only help shorten the operation time,reduce the patient's intraoperative blood loss,and reduce the hysterectomy risks,which can also help prevent patients from having various complications after surgery,and it has high clinical scalability.