川北医学院学报2024，Vol.39Issue(1)：26-29,4.DOI:10.3969/j.issn.1005-3697.2024.01.006
止血囊与纱条填塞分别联合腹主动脉临时阻断术应用于伴胎盘植入孕妇剖宫产术中止血的价值
Value of hemostatic sac or gauze packing combined with temporary ab-dominal aortic occlusion on hemostasis of pregnant women with placenta accreta during cesarean section
摘要
Abstract
Objective:To explore the value of hemostatic sac or gauze packing combined with temporary abdominal aortic occlu-sion on hemostasis during cesarean section of pregnant women with placenta accreta.Methods:The clinical data of 185 pregnant women with placental accreta who were willing to preserve the uterus were retrospectively collected.According to different surgical methods of hemostasis,the pregnant women were divided into hemostatic sac group(n =92)and gauze group(n =93).The surgery-related indica-tors(temporary abdominal aortic occlusion time,success rate of hemostasis,packing off rate,packing time),perioperative blood loss,fi-brinogen(FIB),prothrombin time(PT)and activated partial thromboplastin time(APTT)were compared between the two groups,and the total incidence rate of complications was statistically analyzed.Results:Compared with gauze group,the abdominal aorta temporary occlusion time and packing time were shorter,and the intraoperative blood loss,blood loss at 2,24 h after surgery were less,and the suc-cess rate of hemostasis was higher,while the packing off rate and incidence rate of postoperative complications were lower in hemostatic sac group(P<0.05).The FIB levels in hemostatic sac group was better than that in gauze group,and the PT and APTT were shorter than those in gauze group(P<0.05).Conclusion:For pregnant women with placenta accreta undergoing cesarean section,temporary abdominal aortic occlusion combined with hemostatic sac and gauze both can effectively improve the intraoperative blood loss,but hemo-static sac has higher success rate and safety.关键词
胎盘植入/剖宫产/止血囊/纱条填塞/腹主动脉临时阻断术/术中止血Key words
Placenta accreta/Cesarean section/Hemostatic sac/Gauze packing/Temporary abdominal aortic occlusion/Intraop-erative hemostasis分类
医药卫生引用本文复制引用
徐亚,何静媛..止血囊与纱条填塞分别联合腹主动脉临时阻断术应用于伴胎盘植入孕妇剖宫产术中止血的价值[J].川北医学院学报,2024,39(1):26-29,4.基金项目
四川省科技厅科研项目(2023JDKP0041) （2023JDKP0041）
