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目的:探讨腹主动脉球囊预置术治疗凶险型前置胎盘的疗效及安全性。方法:收取2014年3月至2016年3月我院收治的凶险型前置胎盘患者71例临床资料进行回顾性分析,观察组患者35例,行剖宫产前进行腹主动脉球囊预置术;对照组患者36例,直接进行剖宫产。对两组患者手术情况、术后情况以及新生儿情况进行观察比较。结果:两组患者手术时间及胎盘植入情况无显著差异,观察组术中出血量及输血量明显低于对照组,医疗费用明显高于对照组,产后出血及并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。两组患者子宫切除率无显著差异(P>0.05)。两组新生儿体质量及窒息情况无显著差异(P>0.05)。结论:剖宫产前行腹主动脉球囊预置术可有效控制术中出血,是治疗凶险型前置胎盘安全有效的方法。
Objective: To investigate the efficacy and safety of abdominal aortic balloon preoperative treatment of dangerous placenta previa. Methods: The clinical data of 71 patients with malignant placenta accreta treated in our hospital from March 2014 to March 2016 were retrospectively analyzed. The patients in the observation group were enrolled in this study. 35 patients underwent cesarean preoperative abdominal aorta balloon presetting Surgery; control group of 36 patients, direct cesarean section. The two groups of patients underwent surgery, postoperative conditions and newborns were observed and compared. Results: There was no significant difference between the two groups in the operation time and placenta accreta. The intraoperative blood loss and blood transfusion in the observation group were significantly lower than those in the control group. The medical expenses were significantly higher than those in the control group. The incidence of postpartum hemorrhage and complications was significantly lower than that in the control Group, the difference was statistically significant (P <0.05). Hysterectomy rate was no significant difference between the two groups (P> 0.05). There was no significant difference in body weight and asphyxia between the two groups (P> 0.05). Conclusion: Preoperative cesarean section abdominal aortic balloon presetting can effectively control intraoperative bleeding, is safe and effective treatment of dangerous placenta previa.