本文選題：球囊阻斷　切入點：主動脈　出處：《中國介入影像與治療學(xué)》2017年06期 　論文類型：期刊論文

【摘要】：目的分析剖宮產(chǎn)術(shù)中腹主動脈遠端球囊阻斷對于治療兇險性前置胎盤合并胎盤植入的臨床療效。方法回顧性分析72例兇險性前置胎盤合并胎盤植入產(chǎn)婦的資料。其中53例(阻斷組)于剖宮產(chǎn)術(shù)前預(yù)留腹主動脈球囊導(dǎo)管,術(shù)中暫時阻斷腹主動脈血流;19例(未阻斷組)未留置腹主動脈球囊導(dǎo)管,直接行剖宮產(chǎn)手術(shù)。比較2組術(shù)中、術(shù)后情況及新生兒情況。結(jié)果球囊阻斷組術(shù)中出血量、術(shù)中輸血量、子宮切除率均低于未阻斷組(P均0.05),2組間術(shù)后轉(zhuǎn)入重癥監(jiān)護室(ICU)的比例及ICU住院時間差異均有統(tǒng)計學(xué)意義(P均0.05),手術(shù)時間、術(shù)后感染發(fā)生率及術(shù)后住院總時間差異均無統(tǒng)計學(xué)意義(P均0.05)。2組間新生兒體質(zhì)量及出生后5min、10min的Apgar評分差異均無統(tǒng)計學(xué)意義(P均0.05)。結(jié)論兇險性前置胎盤合并胎盤植入剖宮產(chǎn)術(shù)中行腹主動脈遠端球囊阻斷安全可行,可有效減少術(shù)中出血及輸血量,降低子宮切除率。
[Abstract]:Objective to analyze the clinical effect of abdominal aortic distally balloon occlusion in caesarean section for the treatment of severe placenta previa with placenta accreta. Methods 72 cases of perilous placenta previa with placenta accreta were retrospectively analyzed. The abdominal aortic balloon catheter was reserved before cesarean section in 53 cases (block group). The abdominal aorta blood flow was temporarily blocked in 19 cases (unblocked group), the abdominal aortic balloon catheter was not placed, and the cesarean section was performed directly. The intraoperative, postoperative and neonatal conditions were compared between the two groups. Results the amount of blood lost during the operation in the balloon occlusion group was higher than that in the control group. There were significant differences in the volume of blood transfusion and the rate of hysterectomy between the two groups compared with those in the unblocked group (P < 0.05) and the length of ICU stay in the intensive care unit (ICU). There was no significant difference in incidence of infection after operation and total length of stay after operation. Conclusion there was no significant difference in neonatal body mass and Apgar score between two groups (P < 0.05). Conclusion there is no significant difference in Apgar score between two groups. Conclusion there is no significant difference in Apgar score between two groups. Conclusion there is no significant difference in placenta previa associated with placenta implantation. It is safe and feasible to perform balloon occlusion of distal abdominal aorta during cesarean section. It can effectively reduce intraoperative bleeding and blood transfusion, and reduce the rate of hysterectomy.
【作者單位】： 中國醫(yī)科大學(xué)附屬盛京醫(yī)院放射科;中國醫(yī)科大學(xué)附屬盛京醫(yī)院心內(nèi)科;
【分類號】：R719.8

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