现代妇产科进展2018，Vol.27Issue(3)：175-178,4.DOI:10.13283/j.cnki.xdfckjz.2018.03.004
腹主动脉球囊阻断在不同植入程度凶险性前置胎盘剖宫产中的应用效果
Effects of abdominal aortic balloon occlusion on caesarean section of pernicious placenta previa with different implantation degree
摘要
Abstract
Objective:To compare the intraoperative effects of abdominal aorta balloon occlusion between patients with different degrees implantation of pernicious placenta previa (PPP). Methods:From Mar. 2014 to Mar. 2016,115 cases with PPP undergoing surgery in Obstetrics Department of Shandong Province Hospital Affiliated to Shandong University were studied retrospectively. Those patients were divided into 2 groups:placenta percreta group and non-percreta group. Then,each group was divided into another two groups( occlusion group and non-occlusion group) respectively according to whether aortic balloon occlusion was performed. Finally,intraoperative blood loss,blood transfusion,surgical time,hysterectomy,bladder injury, and neonatal asphyxia of different group were compared. Meanwhile,the operative and postoper-ative complications of abdominal aortic balloon occlusion were also listed. Results:For placenta percreta group,the intraoperative blood loss of occlusion group[1000ml(median)] was signifi-cantly reduced compared with non-occlusion group[2000ml (median)](P<0. 05). For placen-ta increta group,there was no significant difference between occlusion and non-occlusion groups (400ml vs 350ml,P>0. 05). For placenta percreta group,the hysterectomy rate of occlusion group[7％(3/41)] was lower than the non-occlusion group[37％(7/19)](P<0. 05). There was no hysterectomy among placenta non-percreta group. The bladder injury,surgical time and neonatal asphyxia of different group had no statistical difference. Among 64 cases with ballon occlusion,there was 1 case with catheter broken,20 cases with femoral artery thrombosis,2 ca-ses with deep venous thrombosis, 2 cases with postoperative bleeding of puncture point and 1case with femoral artery-femoral venous fistula. Conclusion:Abdominal aorta balloon occlusion can significantly reduce intraoperative blood loss of plaenta previa percreta group and the rate of hysterectomy. However,the effect on placenta previa but non-percreta is not good. Moreover,the method could bring severe complications. So the indications of the method should be mastered strictly.关键词
凶险性前置胎盘/胎盘植入/腹主动脉球囊阻断Key words
Pernicious placenta previa/Placenta increta/Abdominal aorta balloon oc-clusion分类
医药卫生引用本文复制引用
倪筱静,丁艳婷,李继军,王谢桐,左常婷,孟金来..腹主动脉球囊阻断在不同植入程度凶险性前置胎盘剖宫产中的应用效果[J].现代妇产科进展,2018,27(3):175-178,4.基金项目
第48批教育部回国留学人员科研启动基金[教外司留(2014)1685号] （2014）
