子宫动脉结扎联合腹主动脉球囊阻断术在胎盘植入性疾病剖宫产术中的应用

Application of uterine artery ligation combined with abdominal aortic balloon block in caesarean section for placenta accreta spectrum disorders

目的 :探讨子宫动脉结扎联合腹主动脉球囊阻断术在胎盘植入性疾病(placenta accreta spectrum disorders,PAS)剖宫产术中的有效性和有安全性。方法 :将83例PAS剖宫产产妇随机分为观察组(n=42)和对照组(n=41)。对照组给予腹主动脉球囊阻断剖宫产术,观察组给予子宫动脉结扎联合腹主动脉球囊阻断剖宫产术。比较2组手术相关指标和并发症。结果 :观察组手术时间长于对照组,术中出血量、术后24 h总出血量少于对照组,术后血红蛋白差值小于对照组(均P <0.05),并发症发生率低于对照组(4.76%vs 19.51%,χ^(2)=4.260,P=0.028)。结论 :子宫动脉结扎联合腹主动脉球囊阻断术有助于降低PAS剖宫产产妇术中及术后出血量,减少产后出血等并发症的发生。

Objective:To investigate the efficacy and safety of uterine artery ligation combined with abdominal aortic balloon block in cesarean section for placenta accreta spectrum disorders(PAS).Methods:Eighty-three cases of cesarean delivery for PAS were randomly divided into an observation group(n=42)and a control group(n=41).The control group was given abdominal aortic balloon block cesarean section,and the observation group was given uterine artery ligation combined with abdominal aortic balloon block cesarean section.Surgery-related indexes and the incidence of complications were compared between the two groups.Results:The operation time was longer,the total volumes of the intraoperative bleeding and 24-hour postoperative bleeding were less and the postoperative hemoglobin difference was smaller(all P<0.05),and the incidence of complication was lower(4.76%vs 19.51%,χ^(2)=4.260,P=0.028)in the observation group than the control group.Conclusion:Uterine artery ligation combined with abdominal aortic balloon obstruction is of benefit to reducing intraoperative and postoperative hemorrhage in women undergoing cesarean section for PAS and the incidence of complications such as post-partum hemorrhage.