医师在线2024，Vol.14Issue(4) ：46-49.

腹主动脉球囊置入术联合子宫动脉栓塞术治疗对凶险性前置胎盘患者子宫切除率的影响

Effect of balloon implantation of abdominal aorta combined with uterine artery embolization on hysterectomy rate in patients with pernicious placenta previa

朱春 徐慧玲 沈烨 王洁 杨希夷
医师在线2024，Vol.14Issue(4) ：46-49.
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腹主动脉球囊置入术联合子宫动脉栓塞术治疗对凶险性前置胎盘患者子宫切除率的影响

Effect of balloon implantation of abdominal aorta combined with uterine artery embolization on hysterectomy rate in patients with pernicious placenta previa

朱春 1徐慧玲 1沈烨 1王洁 1杨希夷2
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作者信息

  • 1. 上海市长宁区妇幼保健院放射科,上海 200050
  • 2. 上海市徐汇区中心医院介入科,上海 200031
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摘要

目的 探究腹主动脉球囊置入术联合子宫动脉栓塞术治疗对凶险性前置胎盘(PPP)患者子宫切除率的影响.方法 选取2018年1月～2023年12月期间在上海市长宁区妇幼保健院治疗的PPP患者86例,按照随机数字表法分为对照组和观察组,各43例.对照组使用子宫动脉栓塞术治疗,观察组在上述基础上采用腹主动脉球囊置入术治疗.比较两组患者的手术指标、出血情况、妊娠结局、血清指标及并发症情况.结果 观察组的手术指标、出血情况优于对照组(P＜0.05).两组子宫切除率和新生儿Apgar评分比较,差异无统计学意义(P＞0.05).与治疗前相比,两组治疗后血清AFP、CK及SFlt-1均显著降低(P＜0.05),但两组间比较差异无统计学意义(P＞0.05);观察组并发症发生率低于对照组(P＜0.05).结论 腹主动脉球囊置入术联合子宫动脉栓塞术治疗可降低PPP患者的子宫切除率和并发症发生率,调节血清指标,改善患者的出血情况.

Abstract

Objective To investigate the effect of balloon implantation of abdominal aorta combined with uterine artery embolization on the hysterectomy rate of patients with pernicious placenta previa(PPP).Methods A total of 86 PPP patients treated in Shanghai Changning District Maternal and Child Health Hospital from January 2018 to December 2023 were selected and divided into control group and observation group according to random number table method,with 43 cases in each group.The control group was treated with uterine artery embolization,and the observation group was treated with abdominal aortic balloon implantation on the basis of the above.The surgical indexes,bleeding,pregnancy outcome,serum indexes and complications were compared between the two groups.Results The surgical indexes and bleeding of the observation group were better than those of the control group(P<0.05).There was no significant difference in hysterectomy rate and neonatal Apgar score between the two groups(P>0.05).Compared with before treatment,serum AFP,CK and SFlt-1 were significantly decreased in both groups after treatment(P<0.05),but there was no significant difference between the two groups(P>0.05).The complication rate of observation group was lower than that of control group(P<0.05).Conclusion Balloon implantation of abdominal aorta combined with uterine artery embolization can reduce the hysterectomy rate and complication rate of PPP patients,regulate serum indexes and improve the bleeding situation of patients.

关键词

凶险性前置胎盘/腹主动脉球囊置入术/子宫动脉栓塞术/子宫切除率/并发症

Key words

Pernicious placenta previa/Balloon implantation of abdominal aorta/Uterine artery embolization/Hysterectomy rate/Complication

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出版年

2024
医师在线

医师在线

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