双侧髂内动脉球囊放置封堵术在凶险型前置胎盘终止妊娠中的应用(1)
[摘要] 目的 通过对前置胎盘终止妊娠患者实施双侧髂内动脉球囊放置封堵术和传统剖腹产术，比较两种手术方法的疗效，探究两种方法的临床特征。方法 方便选取该院在2018年1—9月期间收治的凶险型前置胎盘患者21例，作为实验组，实施双侧髂内动脉球囊放置封堵术，另选取2017年1—12月期间收治的21例凶险型前置胎盘患者，作为对照组，实施传统剖腹产术;比较两组手术的情况。结果 实验组手术出血量为(1 035.4±642.5)mL低于对照组(t=-4.783，P<0.05)，手术时间为(160.2±43.5)min低于对照组(t=-5.673， P<0.05)，术中输血量为(375.2±124.9)mL低于对照组(t=-3.463， P<0.05)，术后住院时间是(6.5±1.3)d低于对照组(t=-6.094， P<0.05);实验组子宫切除率为9.52%低于对照组(23.81%)(χ2=5.982，P<0.05);实验组并发症发生率为0.00%低于对照组(33.33%)(χ2=7.725，P<0.05)。 结论 双侧髂内动脉球囊放置封堵术可有效降低凶险型前置胎盘患者的手术时间、住院时间、术中输血量和出血量，改善术后并发症，降低子宫切除率，是一项临床效果较为良好的手术方法。
, 百拇医药
[关键词] 双侧髂;内动脉球囊放置封堵术;凶险型;前置胎盘;传统剖腹产术
[中图分类号] R714.46 [文献标识码] A [文章編号] 1674-0742(2019)06(b)-0033-03
[Abstract] Objective To compare the curative effect of two surgical methods by performing bilateral internal iliac artery balloon placement and conventional caesarean section in patients with preterm placenta termination pregnancy， and to explore the clinical features of the two methods. Methods Twenty-one patients with sinister placenta previa were enrolled in our hospital from January 2018 to September 2018. The experimental group was treated with bilateral internal iliac artery balloon placement and occlusion. Twenty-one patients with sinister placenta previa who were admitted during the month were enrolled in the traditional caesarean section as a control group; the two groups were compared. Results The blood loss of the experimental group was (1035.4±642.5)mL lower than that of the control group (t=-4.783， P<0.05). The operation time was (160.2±43.5)min lower than the control group (t=-5.673， P<0.05). The blood transfusion volume was (375.2±124.9)mL lower than the control group (t=-3.463， P<0.05)， and the postoperative hospital stay was 6.5±1.3d lower than the control group (t=-6.094， P<0.05). The resection rate was 9.52% lower than that of the control group (23.81%) (χ2=5.982， P<0.05). The complication rate of the experimental group was 0% lower than that of the control group (33.33%) (χ2=7.725， P<0.05). Conclusion The bilateral internal iliac artery balloon occlusion can effectively reduce the operation time， hospitalization time， intraoperative blood transfusion and blood loss， improve postoperative complications and reduce the rate of hysterectomy， which is a surgical method with a good clinical effect.
[Key words] Bilateral iliac artery; Internal balloon placement and occlusion surgery; Dangerous type; Placenta previa; Traditional caesarean section, 百拇医药(罗小金)
, 百拇医药
[关键词] 双侧髂;内动脉球囊放置封堵术;凶险型;前置胎盘;传统剖腹产术
[中图分类号] R714.46 [文献标识码] A [文章編号] 1674-0742(2019)06(b)-0033-03
[Abstract] Objective To compare the curative effect of two surgical methods by performing bilateral internal iliac artery balloon placement and conventional caesarean section in patients with preterm placenta termination pregnancy， and to explore the clinical features of the two methods. Methods Twenty-one patients with sinister placenta previa were enrolled in our hospital from January 2018 to September 2018. The experimental group was treated with bilateral internal iliac artery balloon placement and occlusion. Twenty-one patients with sinister placenta previa who were admitted during the month were enrolled in the traditional caesarean section as a control group; the two groups were compared. Results The blood loss of the experimental group was (1035.4±642.5)mL lower than that of the control group (t=-4.783， P<0.05). The operation time was (160.2±43.5)min lower than the control group (t=-5.673， P<0.05). The blood transfusion volume was (375.2±124.9)mL lower than the control group (t=-3.463， P<0.05)， and the postoperative hospital stay was 6.5±1.3d lower than the control group (t=-6.094， P<0.05). The resection rate was 9.52% lower than that of the control group (23.81%) (χ2=5.982， P<0.05). The complication rate of the experimental group was 0% lower than that of the control group (33.33%) (χ2=7.725， P<0.05). Conclusion The bilateral internal iliac artery balloon occlusion can effectively reduce the operation time， hospitalization time， intraoperative blood transfusion and blood loss， improve postoperative complications and reduce the rate of hysterectomy， which is a surgical method with a good clinical effect.
[Key words] Bilateral iliac artery; Internal balloon placement and occlusion surgery; Dangerous type; Placenta previa; Traditional caesarean section, 百拇医药(罗小金)