[1]李萍,赵虎,肖雄,等.不同介入阻断术对凶险性前置胎盘患者临床结局的影响[J].中国计划生育和妇产科,2020,(4):41-44.
　LI Ping,ZHAO Hu,XIAO Xiong,et al.Effects of different interventional block surgery on clinical outcomes of patients with dangerous placenta previa[J].Chinese Journal of Family Planning & Gynecotokology,2020,(4):41-44.
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不同介入阻断术对凶险性前置胎盘患者临床结局的影响
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年4期
页码:
41-44
栏目:
论著与临床
出版日期:
2020-04-25

文章信息/Info

Title:
Effects of different interventional block surgery on clinical outcomes of patients with dangerous placenta previa
作者:
李萍; 赵虎; 肖雄; 王利民*
成都市妇女儿童中心医院产科
Author(s):
LI Ping; ZHAO Hu; XIAO Xiong; WANG Limin*
Department of Obstetrics, Chengdu Women and Children's Center Hospital, Chengdu Sichuan 610000，P.R.China
关键词:
凶险性前置胎盘; 介入治疗; 子宫动脉栓塞术; 腹主动脉球囊阻断术
Keywords:
dangerous placenta previa;  interventional therapy;  uterine artery embolization; abdomen aortic balloon occlusion
分类号:
R 71446
摘要:
目的 探究双侧子宫动脉栓塞及腹主动脉球囊阻断术对凶险性前置胎盘患者临床结局的影响。方法 选择2015年7月至2018年3月成都市妇女儿童中心医院收治的凶险性前置胎盘患者纳入研究，其中行双侧子宫动脉栓塞术患35例，纳入栓塞组，行腹主动脉预置球囊阻断术56例，纳入球囊组。比较两组患者围手术期指标及母婴结局指标，随访统计术后并发症发生情况。结果 球囊组患者术中出血量、术后24 h内出血量、输血量、术后出血发生率与栓塞组比较，差异无统计学意义（P>005）。球囊组透视时间、照射剂量、总体手术时间、住院时间、转ICU率、子宫切除率、新生儿窒息发生率及总体并发症发生率均明显低于栓塞组（P<005）。结论 双侧子宫动脉栓塞及腹主动脉球囊阻断均可降低凶险性前置胎盘出血量及子宫切除率；其中腹主动脉球囊阻断可有效缩短手术时间，减少辐射剂量，降低栓塞并发症的发生率，安全性更高。
Abstract:
ObjectiveTo investigate the effects of bilateral uterine artery embolization and abdomen aortic balloon occlusion on clinical outcomes of patients with dangerous placenta previa. Methods The patients with dangerous placenta previa who were admitted to Chengdu Women and Children's Center Hospital from July 2015 to March 2018 were enrolled. Among them, 35 patients undergoing bilateral uterine artery embolization were included in embolization group. 56 patients undergoing lower abdomen aortic balloon occlusion were included in balloon group. The perioperative indicators and maternal and infant outcome indicators were compared between the two groups of patients, and the postoperative complications were followed up.Results Compared with the embolization group, there were no significant differences in the amount of intraoperative blood loss, blood loss within 24 h after operation, blood transfusion, and postoperative bleeding in the balloon group （P>005）. The fluoroscopy time, irradiation dose, total operation time, length of hospital stay, ICU transfer, hysterectomy rate, incidence of neonatal asphyxia, and overall complications were significantly lower in the balloon group than in the embolization group （P<005）.Conclusion Both bilateral uterine arterial embolism and abdominal aortic balloon occlusion can reduce the dangerous placental bleeding and hysterectomy rate. Among them, abdominal aortic balloon occlusion can effectively shorten the operation time, reduce radiation dose and reduce the complications of embolization occurrence, with higher safety.

参考文献/References:

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备注/Memo

备注/Memo:
四川省卫生和计划生育委员会基金课题（项目编号：17PJ256）
更新日期/Last Update: 2020-04-25