腹主动脉球囊置入术与宫腔球囊填塞术治疗凶险性前置胎盘的效果分析

目的探讨腹主动脉球囊置入术与宫腔球囊填塞术治疗凶险性前置胎盘的效果。方法选取2019年1月~2020年1月105例凶险性前置胎盘患者为观察对象,按照随机数表法分为对照组52例和观察组53例。对照组采用宫腔球囊填塞术治疗,观察组采用腹主动脉球囊置入术+宫腔球囊填塞术治疗。比较两组出血量、输红细胞量、输血浆量、术后24 h出血量、术中胎盘植入、失血性休克、DIC率、子宫次全切除或全切除率、新生儿体重、Apgar 1 min评分、Apgar 5 min评分、新生儿窒息率。结果观察组出血量、输红细胞量、输血浆量、术后24 h出血量少于对照组(P<0.05);两组术中胎盘植入差异无统计学意义(P>0.05),观察组失血性休克、DIC率、子宫次全切除或全切除率低于对照组(P<0.05);两组新生儿体重、Apgar 1 min评分、Apgar 5 min评分、新生儿窒息率差异无统计学意义(P>0.05)。结论腹主动脉球囊置入术联合宫腔球囊填塞术治疗凶险性前置胎盘能够减少出血量、输血量、术后24 h出血量,降低失血性休克、DIC率、子宫次全切除或全切除率,改善孕产妇的预后。

The effect of abdominal aortic balloon placement and uterine balloon tamponade on dangerous placenta previa

Objective To investigate the effects of abdominal aortic balloon placement and uterine balloon tamponade in the treatment of dangerous placenta previa.Methods A total of 105 patients with dangerous placenta previa from January 2019 to January 2020 in our hospital were selected as observation objects,and they were divided into 52 cases in the control group and 53 cases in the observation group according to the random number table method.The control group was treated with uterine balloon tamponade,and the observation group was treated with abdominal aortic balloon insertion+uterine balloon tamponade.Compare the two groups of blood loss,red blood cell transfusion,plasma transfusion,24 h postoperative blood loss,intraoperative placenta implantation,hemorrhagic shock,DIC rate,subtotal hysterectomy or total resection rate,newborn weight,Apgar 1 min score,Apgar 5 min score,neonatal asphyxia rate.Results The amount of blood loss,red blood cell transfusion,plasma transfusion,and 24 h postoperative blood loss in the observation group were less than those in the control group(P<0.05);there was no statistically significant difference in placental implantation between the two groups(P>0.05).The observation group lost blood The rates of sexual shock,DIC,subtotal or total hysterectomy were lower than those of the control group(P<0.05);there was no significant difference in the weight,Apgar 1 min score,Apgar 5 min score,and neonatal asphyxia rate between the two groups(P>0.05).Conclusion Abdominal aortic balloon insertion combined with hysterectomy balloon tamponade for the treatment of dangerous placenta previa can reduce blood loss,blood transfusion,and blood loss 24 hours after surgery,and reduce hemorrhagic shock,DIC rate,subtotal hysterectomy or total hysterectomy Resection rate improves maternal prognosis.