摘要
目的:探讨剖宫产术联合介入手术在完全性前置胎盘和胎盘植入中的临床应用价值。方法:回顾性研究2011年6月-2013年12月本院妇产科收治的完全性前置胎盘或者胎盘植入的患者40例,20例患者采用传统的剖宫产终止妊娠方法,作为对照组;20例患者行产科联合介入科新开展的于DSA手术室进行的腹主动脉球囊放置+剖宫产+髂内动脉、子宫动脉栓塞术,作为DSA组,比较两组母婴结局的差别。结果:两组新生儿Apgar评分比较差异无统计学意义(P>0.05);DSA组术中及产后失血量、输血量均明显低于对照组,差异均有统计学意义(P<0.05);DSA组子宫切除率显著低于对照组,母乳喂养率显著高于对照组,差异均有统计学意义(P<0.05)。结论:剖宫产术中腹主动脉放置球囊联合术后髂内动脉子宫动脉栓塞技术能够显著降低产时产后出血量、输血量、子宫切除率,并提高母乳喂养率。
Objective： To investigate the clinical value of interventional radiologic technique combined with cesarean delivery. Method： 40 consecutive patients in our hospital with complete placenta previa or suspected placenta accrete were prospectively assessed from June 2011 to December 2013.20 cases were treated by traditional cesarean delivery methods, termination of pregnancy as the control group. 20 patients were treated by obstetric joint intervention carried out new DSA in the operating room for abdominal aortic balloon placed ＋ cesarean delivery ＋ the iliac artery and uterine artery embolization, as the DSA group, the different outcomes of the two groups were compared. Result： There were no statistical significance in the neonatal Apgar scores of the two groups （ P〉 0.05 ） ; intraoperative and postpartum blood loss, blood transfusion amount in the DSA group were significantly lower than the control group, the differences had statistical significance （ P〈0.05 ） ; the uterus resection rate of the DSA group was significantly lower than the control group, the mother＇s milk feeding rate was significantly higher than the control group, the differences had statistical significance （P〈0.05） .Conclusion： Center of aortic balloon placement joint cesarean section in the iliac artery after uterine artery embalization technology can significantly reduce the intrapartum postpartum blood loss, blood transfusion amount, uterus resection rate, and increase the rate of breasffeeding.
出处
《中国医学创新》
CAS
2014年第11期131-133,共3页
Medical Innovation of China
