本文選題：兇險型前置胎盤 + 剖宮產(chǎn)�。� 參考：《現(xiàn)代婦產(chǎn)科進展》2015年10期

【摘要】：目的:探討髂內(nèi)動脈球囊封堵在兇險型前置胎盤剖宮產(chǎn)圍手術(shù)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(chǎn)科收治的兇險型前置胎盤產(chǎn)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(chǎn)術(shù)前應(yīng)用雙側(cè)髂內(nèi)動脈球囊封堵術(shù),對照組采用常規(guī)剖宮產(chǎn)術(shù)。觀察兩組產(chǎn)婦的出血量、輸血量、子宮切除率及新生兒Apgar評分情況。結(jié)果:封堵組中產(chǎn)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(shù)中及術(shù)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(tǒng)計學(xué)意義(P0.05)。兩組的產(chǎn)后出血量1000~3000ml、術(shù)前與術(shù)后24h后血色素差值、術(shù)后1~5d惡露量、新生兒1min及5min Agpar評分比較,差異均無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:兇險型前置胎盤采用剖宮產(chǎn)術(shù)前預(yù)置髂內(nèi)動脈球囊是控制產(chǎn)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(chǎn)術(shù)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，

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