Clinicalevaluationoflowerabdominalaortaballoonocclusionassistingincesareansectionforperniciousplacentaprevia
10.3969/j.issn.1002-1671.2019.03.026
- VernacularTitle:低位腹主动脉球囊阻断辅助凶险性前置胎盘剖宫产的临床研究
- Author:
Wenlong FAN
1
;
Zhengqiang YANG
Author Information
1. 南京医科大学第一附属医院介入放射科
- Keywords:
perniciousplacentaprevia;
lowerabdominalaortaballoonocclusion;
cesareansection
- From:
Journal of Practical Radiology
2019;35(3):441-443,458
- CountryChina
- Language:Chinese
-
Abstract:
Objective Toexploretheeffectivenessandsafetyofballoonocclusionofthelowerabdominalaortaincesareansection forpatientswithperniciousplacentaprevia.Methods Theclinicaldataof59patientswithperniciousplacentapreviawhounderwent cesareansectionwereevaluatedretrospectively.35casesweretreatedwithcesareansectionassistedwiththelowerabdominalaorta balloonocclusion (studygroup),24casesweretreatedwithcesareansectiontoterminatethepregnancy(controlgroup).Theoperation time,intraoperativebloodloss,intraoperativebloodtransfusion,bloodlosswithinpostoperative24h,hysterectomyrate,hospitalstay aftercesareansection,Apgarscoreandbirthweightofthetwogroupswerecompared.Results Theintraoperativebloodloss(778.5± 566.3)mL,intraoperativebloodtransfusion(288.5±392.2)mLandhysterectomyratewerelowerinthestudygroupthanthosein thecontrolgroup,withstatisticalsignificance(P＜0.05).Therewasnosignificantdifferencebetweentwogroupsinoperationtime, bloodlosswithinpostoperative24h,hospitalstayaftercesareansection,Apgarscoreandbirthweight(P＞0.05).Conclusion Incesarean sectionassistedwithballoonocclusionoflowerabdominalaortaforpatientswithperniciousplacentapreviaisasafeandeffective technique,whichcanreduceintraoperativebloodlossandbloodtransfusiontodecreasetheriskofhysterectomy.
