| 陈先侠,王海霞,卢晓倩,等.腹主动脉球囊应用于凶险性前置胎盘伴胎盘植入的临床分析[J].安徽医药,2018,22(9):1718-1721. |
| 腹主动脉球囊应用于凶险性前置胎盘伴胎盘植入的临床分析 |
| Clinical analysis of abdominal aorta balloon occlusion applied to the pernicious placenta previa combined with placenta accreta |
| 投稿时间：2018-01-29 |
| DOI： |
| 中文关键词: 腹主动脉球囊 凶险性前置胎盘 胎盘植入 产后出血 |
| 英文关键词: Abdominal aorta balloon Pernicious placenta previa Placenta accreta Postpartum hemorrhage |
| 基金项目:安徽省2017年公益性技术应用研究联动计划项目(1704f0804043)腹主动脉球囊应用于凶险性前置胎盘伴胎盘植入的临床分析 陈先侠1,王海霞1,卢晓倩1,蒋晓敏1,李兵2,吕红梅1,张丽1 (1.安徽省妇幼保健院危急重产科,安徽 合肥 230001;2.安徽省妇幼保健院介入科,安徽 合肥 230001) |
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| 中文摘要: |
| 目的 探讨腹主动脉球囊阻断术在预防凶险性前置胎盘伴胎盘植入患者产后出血的临床效果。方法 回顾性分析2012年1月1日至2017年12月31日在安徽省妇幼保健院住院分娩的凶险性前置胎盘伴胎盘植入的患者41例,其中应用腹主动脉球囊的患者25例为研究组,未应用腹主动脉球囊的患者16例为对照组。结果 研究组与对照组相比,出血量分别为(1 032.00±634.90)mL和(2 262.50±1 339.59)mL,差异有统计学意义(t=3.436,P=0.003),输血量分别为(3.04±1.77)U和(6.38±3.81)U,差异有统计学意义(t=3.807,P=0.000),子宫切除率分别为0%和25.00%,差异有统计学意义(χ2=4.377,P=0.036)。研究组无严重的介入相关并发症发生。结论 腹主动脉球囊应用于凶险性前置胎盘伴胎盘植入患者可明显减少产后出血率及子宫切除率,具有较好的临床效果及安全性。 |
| 英文摘要: |
| Objective To investigate the clinical effect of abdominal aorta balloon occlusion in preventing postpartum hemorrhage of pernicious placenta previa combined with placenta accreta.Methods A retrospective analysis was conducted in 41 cases of pernicious placenta previa combined with placenta accreta admitted to Anhui Maternity and Child Health Care Hospital.25 patients using abdominal aortic balloon were set as study group and 16 patients without using abdominal aortic balloon were set as control group.Results The amount of blood loss in the two group were (1 032.00±634.90) mL and (2 262.50±1 339.59) mL,respectively,with significant difference (t=3.436,P= 0.003).The amount of blood transfusion were [(3.04±1.77) U vs.(6.38±3.81) U],with significant difference (t=3.807,P=0.000).And hysterectomy rates(0% vs. 25.00%) between the study and control group,with statistical significance (χ2=4.377,P=0.036).There were no serious interventional complications in the study group.Conclusion Abdominal aortic balloon applied in the pernicious placenta previa combined with placenta accreta can reduce the rate of postpartum hemorrhage and hysterectomy significantly,which is effective and safe. |
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