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目的:观察腹主动脉球囊阻断治疗凶险性前置胎盘的临床效果。方法:选取2015年10月~2017年3月我院收治的凶险性前置胎盘患者40例,其中20例入院后直接行剖宫产手术,将其纳入对照组,另20例在行剖宫产术前先行腹主动脉球囊阻断治疗,将其纳入实验组,对比两组手术效果。结果:实验组术中出血量、输血量少于对照组(P<0.05);实验组子宫切除率为15.0%,显著低于对照组的80.0%(p<0.05);对比两组手术时间及新生儿窒息率,差异无统计学意义(P>0.05)。结论:腹主动脉球囊阻断治疗凶险性前置胎盘,可减少术中出血,降低子宫切除率,值得临床借鉴、应用。
Objective: To observe the clinical effect of abdominal aorta balloon occlusion treatment of dangerous placenta previa. Methods: From October 2015 to March 2017, 40 cases of dangerous placenta previa were enrolled in our hospital. Among them, 20 cases underwent cesarean section directly after admission and were included in the control group. The other 20 cases underwent cesarean section Abdominal aortic balloon occlusion treatment prior to surgery, to be included in the experimental group, compared the two groups of surgical results. Results: The blood loss and blood transfusion in the experimental group were less than those in the control group (P <0.05). The hysterectomy rate in the experimental group was 15.0%, which was significantly lower than that in the control group (80.0%, p <0.05) Neonatal asphyxia, the difference was not statistically significant (P> 0.05). Conclusion: Abdominal aorta balloon occlusion treatment of dangerous placenta previa, can reduce intraoperative bleeding and reduce the rate of hysterectomy, it is worth learning from the clinical application.