首页|髂内动脉球囊预置阻断术在植入型凶险性前置胎盘中的临床研究

髂内动脉球囊预置阻断术在植入型凶险性前置胎盘中的临床研究

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目的:探讨髂内动脉球囊预置阻断术在植入型凶险性前置胎盘中的临床价值。方法:选取2021年7月—2024年1 月阳江市人民医院收治的 60 例植入型凶险性前置胎盘患者。根据随机数表法将其分为对照组与观察组,各 30 例。两组均行剖宫产,对照组应用常规止血措施,观察组应用双侧髂内动脉球囊预置术。比较两组围手术期指标、新生儿情况、子宫切除率、并发症。结果:观察组术中出血量少于对照组,手术时间与住院时间均短于对照组,差异有统计学意义(P<0。05)。两组新生儿出生 1 min、5 min、10 min Apgar评分比较,差异无统计学意义(P>0。05)。观察组子宫切除率、并发症发生率均低于对照组,差异有统计学意义(P<0。05)。结论:双侧髂内动脉球囊预置术应用于植入型凶险性前置胎盘患者中效果显著,能够减少产妇术中出血量,降低大出血风险,缩短手术时间和住院时间,降低患者子宫切除率与术后并发症发生率。
Clinical Study of Internal Iliac Artery Balloon Pre Placement Occlusion Surgery in Patients with Implantable Dangerous Placenta Previa
Objective:To investigate the clinical value of internal iliac artery balloon pre placement occlusion surgery in patients with implantable dangerous placenta previa.Method:A total of 60 patients with implantable and dangerous placenta previa admitted to Yangjiang People's Hospital from July 2021 to January 2024 were selected.They were divided into control group and observation group according to random number table method,with 30 cases in each group.Both groups underwent cesarean section,control group was treated with routine hemostasis measures,observation group was treated with bilateral internal iliac artery balloon pre placement occlusion surgery.Perioperative indexes,neonatal conditions,hysterectomy rate and complications were compared between the two groups.Result:The intraoperative blood loss volume in the observation group was less than that in the control group,and the operation time and hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in Apgar score at 1 min,5 min and 10 min of neonatal between the two groups(P>0.05).The hysterectomy rate and complication rate in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of bilateral internal iliac artery balloon pre placement occlusion surgery is effective in patients with implantation of dangerous placenta previa,which can control the amount of bleeding during surgery of maternity,reduce the risk of massive bleeding,shorten the operation time and hospital stay,and reduce the hysterectomy rate and the incidence of postoperative complications.

Bilateral internal iliac artery balloon pre placement occlusion surgeryImplantation of dangerous placenta previaCesarean sectionNeonatalComplication

黄幸红、陈晓蓓、黄丽秋、朱瑞珍、王书长

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阳江市人民医院 广东 阳江 529500

双侧髂内动脉球囊预置术 植入型凶险性前置胎盘 剖宫产 新生儿 并发症

阳江市医疗卫生类科技计划项目

SF2021055

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(22)