[1]张晓静,戚亚兰*,凌冰.腹主动脉球囊预置术在前置胎盘伴胎盘植入剖宫产术中的优化应用[J].中国计划生育和妇产科,2018,(11):51-54.
　ZHANG Xiao-jing,QI Ya-lan*,LING Bing.Optimal application of abdominal aortic balloon preset in cesarean section with placenta previa and placenta accreta[J].Chinese Journal of Family Planning & Gynecotokology,2018,(11):51-54.
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腹主动脉球囊预置术在前置胎盘伴胎盘植入剖宫产术中的优化应用
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年11期
页码:
51-54
栏目:
论著与临床
出版日期:
2018-11-25

文章信息/Info

Title:
Optimal application of abdominal aortic balloon preset in cesarean section with placenta previa and placenta accreta
作者:
张晓静1; 戚亚兰1*; 凌冰2
南京鼓楼医院集团宿迁市人民医院，1.产科；2.介入科
Author(s):
ZHANG Xiao-jing1; QI Ya-lan1*; LING Bing2
1.Department of Obstetrics;2.Department of Interventional Treatment,Nanjing Gulou Hospital Group Suqian People's Hospital,Suqian Jiangsu 223800,P.R.China
关键词:
优化; 前置胎盘; 胎盘植入; 剖宫产术; 产后出血
Keywords:
optimal;  placenta previa;  placenta accreta; cesarean section; postpartum hemorrhage
分类号:
R 714.46
摘要:
目的探讨腹主动脉球囊预置术在前置胎盘伴胎盘植入剖宫产术中优化应用的效果及安全性。方法回顾性分析2016年11月至2017年6月在南京鼓楼医院集团宿迁市人民医院就诊的30例前置胎盘伴胎盘植入患者的临床资料，其中剖宫产术前行优化腹主动脉球囊预置术者18例为观察组，直接行剖宫产术者12例为对照组。比较两组术中出血量、输血量、子宫切除率、手术时间、术后住院日、ICU转诊率、术后并发症率等指标。结果观察组术中出血量、输血量、子宫切除率及手术时间［（51667±220294）mL、（4444±188562）mL、56 %、（5878±15299）min］明显低于对照组［(1 16667±773814)mL、（58333±678010）mL、333 %、（11483±35486）min］（P＜005），术后并发症率和新生儿预后无明显差异(P＞005)。结论优化后的腹主动脉球囊预置术可有效控制前置胎盘伴胎盘植入剖宫产术中出血，减少输血量，降低子宫切除率，同时不会因为实施介入治疗增加术后并发症率。
Abstract:
ObjectiveTo study the effect of optimal application of abdominal aortic balloon preset in the postpartum hemorrhage of placental previa along with placenta accreta. MethodsRetrospective analyzed the clinical data of 30 patients who underwent ultrasonic surgery or placenta previa with placenta accreta from Nov. 2016 to June 2017 in Nanjing Gulou Hospital Group Suqian People's Hospital.Among which 18 patients underwent optimal abdominal aortic balloon preset before cesarean section were the observation group, and 12 patients who directly underwent cesarean section were the control group. Intraoperative blood loss, blood transfusion, hysterectomy rate, operation time, postoperative, ICU referral rate, postoperative complications rate etc. of the two groups were compared. ResultsThe intraoperative blood loss, blood transfusion, hysterectomy rate and operation time were significantly lower in the observation group［（51667±220294）mL、（4444±188562）mL、56 %、（5878±15299）min］ than in the control group ［(1 16667±773814)mL、（58333±678010）mL、333 %、（11483±35486）min］（P＜005）. There was no significant difference in postoperative complication rate and neonatal prognosis.ConclusionOptimized abdominal aortic balloon preset surgery can effectively control bleeding in the placenta previa with placenta and cesarean section, reduce blood transfusion, reduce the rate of hysterectomy, and does not increase the postoperative complication rate due to interventional treatment.

参考文献/References:

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更新日期/Last Update: 2018-11-25