[1]林燕.腹主动脉阻断球囊预植入术对凶险性前置胎盘 剖宫产术中止血情况及手术结局的影响[J].中国计划生育和妇产科,2017,(4):38- 40,44.
 LIN Yan.Effects of pre-implantation of abdominal aortic occlusion balloon on hemostasis and outcome of cesarean section of dangerous placenta previa[J].Chinese Journal of Family Planning & Gynecotokology,2017,(4):38- 40,44.
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腹主动脉阻断球囊预植入术对凶险性前置胎盘 剖宫产术中止血情况及手术结局的影响
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年4期
页码:
38- 40,44
栏目:
论著与临床
出版日期:
2017-04-25

文章信息/Info

Title:
Effects of pre-implantation of abdominal aortic occlusion balloon on hemostasis and outcome of cesarean section of dangerous placenta previa
作者:
林燕
成都医学院第一附属医院
Author(s):
LIN Yan
Department of Gynaecology and Obstetrics,The First Affiliated Hospital of Chengdu Medical College,Chengdu Sichuan 610500,P.R.China
关键词:
腹主动脉阻断球囊预植入术凶险性前置胎盘剖宫产出血
Keywords:
aortic balloon implantation dangerous placenta previa cesarean section hemorrhage
分类号:
R 271.14
摘要:
目的探讨腹主动脉阻断球囊预植入术对凶险性前置胎盘剖宫产术中止血及手术结局的影响。方法回顾性分析成都医学院第一附属医院收治的凶险性前置胎盘患者62例的临床资料,其中2013年9月至2014年8月直接采用剖宫产治疗的31例为对照组,2014年9月至2015年8月采用腹主动脉阻断球囊预植入术治疗的31例为研究组。对比两组手术基本情况(手术时间、术中出血量、输血量、住院时间)及手术结局(转ICU率、子宫切除、新生儿窒息、下肢血栓)。结果研究组手术时间、术中出血量、输血量、住院时间、转ICU率、子宫切除的发生率显著低于对照组,差异有统计学意义(P<005);两组新生儿窒息、下肢血栓的发生率比较差异无统计学意义(P>005)。结论腹主动脉阻断球囊预植入术在凶险性前置胎盘剖宫产术中的止血效果良好,且能显著降低子宫切除率。
Abstract:
ObjectiveTo investigate the effect of pre-implantation of abdominal aortic occlusion balloon on hemostasis and outcome of cesarean section of dangerous placenta previa. MethodsThe clinical data of 62 patients with malignant placenta previa in The First Affiliated Hospital of Chengdu Medical College were analyzed retrospectively. Among them, 31 cases treated by cesarean section from September 2013 to August 2014 were selected as control group, and 31 patients treated with abdominal aorta block balloon implantation before cesarean section from September 2014 to August 2015 were selected as the study group. The surgery (operation time, intraoperative blood loss, blood transfusion, length of hospital stay) and surgical outcome (ICU, hysterectomy, neonatal asphyxia, lower limb thrombosis) of two groups were compared. ResultsThe operation time, blood loss during operation, blood transfusion and length of hospital stay of the study group were significantly lower than those in the control group. The difference was statistically significant (P<005). The incidence of ICU and hysterectomy in the study group was significantly lower than that in the control group. The difference was statistically significant (P<005). The incidence of neonatal asphyxia and lower limb thrombosis of the two groups has no significant difference (P>005). ConclusionThe hemostatic effect of pre-implantation of abdominal aortic occlusion balloon during cesarean section of dangerous placenta previa is good, and can significantly reduce the rate of hysterectomy.

参考文献/References:

[1]王振辉,李晨辉.凶险型前置胎盘27例临床分析 [J].实用妇产科杂志,2013,29 (1):77-79. [2]孙黎.介入治疗在凶险型前置胎盘合并胎盘植入中的应用 [J].中国计划生育和妇产科,2011,3 (2):50-52. [3]谢幸,苟文丽.妇产科学[M].第8版.北京:人民卫生出版社,2013:126-127. [4]江元,应红军,范琦慧.植入性凶险型前置胎盘子宫切除14例临床分析 [J].现代实用医学,2013,25 (1):81-83. [5]凌波,梅劼,谢兰,等.腹主动脉阻断球囊预植入术在高危前置胎盘剖宫产手术中的应用 [J].实用妇产科杂志,2015,31 (9):709-711. [6]贾晓宙.腹主动脉球囊预置在凶险型前置胎盘治疗的临床应用 [J].中国医师杂志,2016,18 (2):264-266. [7]杨厚林,唐仪,方主亭,等.腹主动脉阻断联合子宫动脉栓塞在九例前置胎盘并胎盘植入剖宫产手术中的应用 [J].介入放射学杂志,2013,22 (12):1036-1038. [8]林靓,余艳红,杨茵,等.剖宫产术中宫腔填塞联合腹主动脉远端预置球囊阻断治疗植入型凶险型前置胎盘 [J].中国微创外科杂志,2014,8 (7):608-611. [9]刘传,赵先兰,刘彩,等.腹主动脉球囊阻断在凶险性前置胎盘合并胎盘植入剖宫产术中的应用 [J].实用妇产科杂志,2016,32 (3):204-207. [10]Takahashi Akihiko, Taniguchi Norimasa. Supported percutaneous coronary intervention using a novel 6-Fr intra-aortic balloon pump catheter via the brachial artery in a nonagenarian patient with an abdominal aortic aneurysm[J]. Catheter Cardiovasc Interv, 2011, 77 (7): 1045-1048. [11]林靓,杨茵,李晴.剖宫产术中腹主动脉预置球囊阻断术治疗凶险型前置胎盘的临床分析[J].中国妇幼保健,2015,30 (19):3168-3171. [12]Avaro Philippe, Mardelle Vincent, Roch Antoine, et al. Forty-minute endovascular aortic occlusion increases survival in an experimental model of uncontrolled hemorrhagic shock caused by abdominal trauma[J]. J Trauma, 2011, 71 (3): 720-725; discussion 725-6. [13]高秀明.双侧股动脉预置管联合剖宫产治疗凶险型前置胎盘的临床研究 [J].中国卫生标准管理,2015,6 (19):25-26.

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更新日期/Last Update: 2017-04-25