Comparison of the application of abdominal aortic balloon occlusion and modified uterine artery occlusion in patients with placenta accreta undergoing repeat cesarean section
10.3969/j.issn.1006-5725.2024.13.010
- VernacularTitle:腹主动脉球囊阻断术与改良后子宫血管阻断术在胎盘植入性疾病患者再次剖宫产中的应用比较
- Author:
Dehong LIU
1
;
Xianxia CHEN
;
Chenmin ZHENG
;
Shuhua LIU
Author Information
1. 安徽省妇女儿童医学中心,合肥市妇幼保健院(合肥 230001)
- Keywords:
placenta accreta spectrum disorders;
placenta previa;
uterine vascular occlusion;
abdominal aortic balloon occlusion
- From:
The Journal of Practical Medicine
2024;40(13):1822-1826
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impact of preoperative abdominal aortic balloon occlusion and modified uterine vascular occlusion on repeat cesarean delivery in patients with placenta previa and placenta accreta spectrum disorders.Methods A total of 97 patients with placenta previa and placenta accreta spectrum disorders who underwent repeat cesarean section at Hefei Maternal and Child Health Hospital between April 2016 and Decem-ber 2022 were included in this study.Among them,the control group consisted of 48 cases who underwent abdominal aortic balloon occlusion before the operation,while the observation group comprised 49 cases who underwent modified uterine vascular occlusion during the operation.Intraoperative and postoperative complications were observed and compared between the two groups.Results The number of bilateral uterine artery embolization post-operation and the average hospitalization cost in the observation group were significantly lower compared to those in the control group(P<0.05).However,there were no significant differences observed between the two groups regarding average intraoperative blood loss,red blood cell suspension transfusion volume,hysterectomy rate,and bladder rupture rate(P>0.05).Conclusions Both surgical methods effectively reduce intraoperative bleeding in the treatment of repeat cesarean section in patients with placenta previa and placenta accreta spectrum disorders.However,modified uterine vascular occlusion demonstrates no complications related to vascular intervention or X-ray exposure,ensuring high maternal and child safety while significantly reducing hospitalization costs.Therefore,it is highly recommended for clinical promotion.
