[1]魏云波,张曙萱*.数字减影血管造影引导下低位腹主动脉球囊阻断术在凶险性前置胎盘治疗中的应用研究[J].中国计划生育和妇产科,2020,(8):41-44.
　WEI Yunbo,ZHANG Shuxuan*.Application of digital subtraction angiography guided low abdominal aortic balloon occlusion in the treatment of dangerous placenta previa[J].Chinese Journal of Family Planning & Gynecotokology,2020,(8):41-44.
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数字减影血管造影引导下低位腹主动脉球囊阻断术在凶险性前置胎盘治疗中的应用研究
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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8期
页码:
41-44
栏目:
论著与临床
出版日期:
2020-08-25

文章信息/Info

Title:
Application of digital subtraction angiography guided low abdominal aortic balloon occlusion in the treatment of dangerous placenta previa
作者:
魏云波1; 2; 张曙萱3*
江苏徐州，徐州医科大学；2.223001江苏淮安，淮安市妇幼保健院产科；3.221000江苏徐州，徐州医科大学附属徐州市立医院产科
Author(s):
WEI Yunbo1; 2; ZHANG Shuxuan3*
1.Xuzhou Medical University，Xuzhou Jiangsu 221004；2.Department of Obstetrics,Huai'an Maternal and Child Health Hospital, Huai'an Jiangsu 223001；3.Department of Obstetrics,Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University，Xuzhou Jiangsu 221
关键词:
数字减影血管造影; 低位腹主动脉球囊阻断术; 凶险性前置胎盘; 治疗; 胃肠功能
Keywords:
digital subtraction angiography; low abdominal aortic balloon occlusion; dangerous placenta previa; treatment; gastrointestinal function
分类号:
R 7142
摘要:
目的 探讨数字减影血管造影引导下低位腹主动脉球囊阻断术在凶险性前置胎盘治疗中的应用。方法回顾性分析2017年1月至2019年8月在淮安市妇幼保健院接受治疗的80例凶险性前置胎盘患者的临床资料。所有患者在剖宫产前均行腹主动脉球囊阻断术，将球囊扩张导管置入至T12~L1椎体间（高位）的为对照组，将球囊置入髂动脉分叉上方(低位)的为观察组，每组各40例。对比两组患者手术一般情况、术后胃肠功能恢复情况、术后情况及新生儿结局。结果两组患者术中出血量、输血量、球囊封堵时间、胎儿接受辐射剂量及子宫切除率比较差异均无统计学意义（P>005）。观察组排气时间、肠鸣音恢复时间及进食时间均明显较对照组短，术后两组患者胃动素、胃泌素及胆囊收缩素均明显下降，但对照组下降更为明显（P<005）。对照组患者下肢血栓形成率及转ICU率分别为750 %、250 %，与观察组的1250 %、250 %比较，差异无统计学意义（P>005）。两组新生儿1 min、5 min Apgar评分及出生体质量比较，差异均无统计学意义（P>005）。结论低位腹主动脉球囊阻断技术与高位相比，在术后出血量、输血量、球囊封堵时间、胎儿接受辐射剂量、术后并发症及新生儿结局方面均无显著差异，但对患者胃肠道功能影响较小。
Abstract:
ObjectiveTo investigate the application of digital subtraction angiography guided low abdominal aortic balloon occlusion in the treatment of dangerous placenta previa.MethodsA retrospective analysis of the clinical data of 80 patients with dangerous placenta previa treated in the Huai'an Maternal and Child Health Hospital from January 2017 to August 2019. All patients underwent abdominal aortic balloon occlusion before cesarean section. The balloon dilatation catheter inserted into the T12~L1 vertebral body (high position) was set as the control group. The balloon placed above the bifurcation of the iliac artery (lower position) was set as the observation group, 40 cases in each group. Compared the general operation situation, postoperative gastrointestinal function recovery, postoperative situation and neonatal outcomes of the two groups.ResultsThere were no significant differences in intraoperative blood loss, blood transfusion volume, balloon occlusion time, fetal radiation dose and hysterectomy rate between the two groups (P>005).The exhaust time, recovery time of bowel sounds and eating time of the observation group were significantly shorter than those of the control group. The motilin, gastrin and cholecystokinin were significantly decreased in the two groups, but the control group decreased more significantly (P<005). The lower extremity thrombosis rate and ICU transfer rate of the control group were 750 % and 250 %, respectively, and there were no statistically significant difference compared with the observation group of 1250 % and 250 % (P>005). There were no significant differences in the 1 min and 5 min Apgar scores and birth weight between the two groups of newborns (P>005).ConclusionCompared with the high position, the lowlevel abdominal aortic balloon occlusion technique has no significant difference in postoperative bleeding volume, blood transfusion volume, balloon occlusion time, fetal radiation dose received, postoperative complications, and neonatal outcomes，but gastrointestinal function is less affected.

参考文献/References:

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更新日期/Last Update: 2020-08-25