本文選題：兇險型前置胎盤 + 剖宮產��； 參考：《現代婦產科進展》2015年10期

【摘要】：目的:探討髂內動脈球囊封堵在兇險型前置胎盤剖宮產圍手術期的臨床療效。方法:收集2014年1月至2015年2月徐州市中心醫(yī)院產科收治的兇險型前置胎盤產婦42例,將患者隨機分為封堵組(22例)和對照組(20例)。封堵組剖宮產術前應用雙側髂內動脈球囊封堵術,對照組采用常規(guī)剖宮產術。觀察兩組產婦的出血量、輸血量、子宮切除率及新生兒Apgar評分情況。結果:封堵組中產后出血量≥3000ml的比率明顯少于對照組[0.0%(0/22)vs 20.0%(4/20)]。與對照組比較,封堵組的術中及術后平均輸血量(309.09ml vs 740.00ml)及子宮切除率[0.0%(0/22)vs 25.0%(5/20)]明顯降低,差異均有統計學意義(P0.05)。兩組的產后出血量1000~3000ml、術前與術后24h后血色素差值、術后1~5d惡露量、新生兒1min及5min Agpar評分比較,差異均無統計學意義(P0.05)。結論:兇險型前置胎盤采用剖宮產術前預置髂內動脈球囊是控制產后大出血(≥3000ml)及減少子宮切除率的有效手段,較常規(guī)剖宮產術具有明顯的優(yōu)勢。
[Abstract]:Objective: to investigate the clinical effect of balloon closure of internal iliac artery in perioperative period of severe placenta previa caesarean section. Methods: from January 2014 to February 2015, 42 cases of perilous placenta previa in the obstetrics department of Xuzhou Central Hospital were collected. The patients were randomly divided into two groups: the occlusion group (n = 22) and the control group (n = 20). Bilateral internal iliac artery balloon closure was performed before cesarean section in the occlusion group and conventional cesarean section was used in the control group. Blood loss, blood transfusion, hysterectomy rate and neonatal Apgar score were observed. Results: the rate of postpartum hemorrhage 鈮，

本文編號：1889758