腹主动脉球囊阻断术联合子宫重塑术在凶险性前置胎盘并发胎盘植入患者中的应用评价

Evaluation of the Application of Abdominal Aortic Balloon Occlusion Combined with Uterine Reconstruction in Patients with High-risk Placenta Previa Complicated by Placenta Accreta

目的探究凶险性前置胎盘并发胎盘置入患者治疗中,腹主动脉球囊阻断术和子宫重塑术应用的临床效果。方法选取2018年2月至2021年2月河南科技大学第一附属医院收治的凶险性前置胎盘并发胎盘置入患者中抽取62例为本次研究对象,电脑流水号法分组,对照组31例应用腹主动脉球囊阻断术治疗,研究组31例应用腹主动脉球囊阻断术和子宫重塑术治疗,比较两组患者治疗效果。结果相比对照组,研究组患儿术中出血量更低,手术时间、平均住院时间更短,差异有统计学意义(P<0.05);两组新生儿Apgar评分、出生体质量数据对比,差异无统计学意义(P>0.05);治疗后,两组肌酸激酶、甲胎蛋白水平均有所下降,且研究组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率对比,差异无统计学意义(P>0.05);治疗后,两组产后出血率、子宫切除率对比,研究组产后出血滤、子宫切除率明显低于对照组,差异有统计学意义(P<0.05);治疗后,两组治疗满意度比较,研究组治疗满意度高于对照组,差异有统计学意义(P<0.05)。结论腹主动脉球囊阻断术和子宫重塑术治疗凶险性前置胎盘者并发胎盘植入,成效显著。

Objective To investigate the clinical effects of abdominal aortic balloon occlusion and uterine reconstruction in the treatment of high-risk placenta previa complicated by placenta accreta.Methods A total of 62 patients with high-risk placenta previa complicated by placenta accreta admitted to the First Affiliated Hospital of Henan University of Science and Technology from February 2018 to February 2021 were selected as the subjects of this study,and they were grouped by the computergenerated random number method.The control group(n=31)was treated with abdominal aortic balloon occlusion,and the study group(n=31)was treated with abdominal aortic balloon occlusion and uterine remodeling.The treatment effect was compared between the two groups.Results Compared with the control group,the patients in the study group had lower intraoperative blood loss,shorter operation time,and shorter average hospital stay,the differences were statistically significant(P<0.05).There was no significant difference in Apgar score and birth weight between the two groups(P>0.05).After treatment,the levels of creatine kinase and alpha-fetoprotein in the two groups decreased,and the study group was lower than the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).After treatment,the postpartum hemorrhage rate and hysterectomy rate of the two groups were compared,and the postpartum hemorrhage filtration rate and hysterectomy rate of the study group were significantly lower than those of the control group,with statistical significance(P<0.05).After treatment,the treatment satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of abdominal aortic balloon occlusion and uterine reconstruction shows significant effectiveness in the treatment of high-risk placenta previa complicated by placenta accreta.