实用医学杂志2024，Vol.40Issue(13)：1822-1826,5.DOI:10.3969/j.issn.1006-5725.2024.13.010
腹主动脉球囊阻断术与改良后子宫血管阻断术在胎盘植入性疾病患者再次剖宫产中的应用比较
Comparison of the application of abdominal aortic balloon occlusion and modified uterine artery occlusion in patients with placenta accreta undergoing repeat cesarean section
摘要
Abstract
Objective To investigate the impact of preoperative abdominal aortic balloon occlusion and modified uterine vascular occlusion on repeat cesarean delivery in patients with placenta previa and placenta accreta spectrum disorders.Methods A total of 97 patients with placenta previa and placenta accreta spectrum disorders who underwent repeat cesarean section at Hefei Maternal and Child Health Hospital between April 2016 and Decem-ber 2022 were included in this study.Among them,the control group consisted of 48 cases who underwent abdominal aortic balloon occlusion before the operation,while the observation group comprised 49 cases who underwent modified uterine vascular occlusion during the operation.Intraoperative and postoperative complications were observed and compared between the two groups.Results The number of bilateral uterine artery embolization post-operation and the average hospitalization cost in the observation group were significantly lower compared to those in the control group(P<0.05).However,there were no significant differences observed between the two groups regarding average intraoperative blood loss,red blood cell suspension transfusion volume,hysterectomy rate,and bladder rupture rate(P>0.05).Conclusions Both surgical methods effectively reduce intraoperative bleeding in the treatment of repeat cesarean section in patients with placenta previa and placenta accreta spectrum disorders.However,modified uterine vascular occlusion demonstrates no complications related to vascular intervention or X-ray exposure,ensuring high maternal and child safety while significantly reducing hospitalization costs.Therefore,it is highly recommended for clinical promotion.关键词
胎盘植入性疾病/前置胎盘/子宫血管阻断术/腹主动脉球囊阻断术Key words
placenta accreta spectrum disorders/placenta previa/uterine vascular occlusion/abdominal aortic balloon occlusion分类
医药卫生引用本文复制引用
刘德红,陈先侠,郑晨旻,刘书华..腹主动脉球囊阻断术与改良后子宫血管阻断术在胎盘植入性疾病患者再次剖宫产中的应用比较[J].实用医学杂志,2024,40(13):1822-1826,5.基金项目
安徽省公益性技术应用研究联动计划项目(编号:1704f0804043) （编号:1704f0804043）
