中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
11期
131-132,133
,共3页
完全性前置胎盘%胎盘植入%剖宫产%主动脉球囊置入%妊娠结局
完全性前置胎盤%胎盤植入%剖宮產%主動脈毬囊置入%妊娠結跼
완전성전치태반%태반식입%부궁산%주동맥구낭치입%임신결국
Placenta previa%Placenta accreta%IABO%Cesarean delivery%Prognosis
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。
目的：探討剖宮產術聯閤介入手術在完全性前置胎盤和胎盤植入中的臨床應用價值。方法：迴顧性研究2011年6月-2013年12月本院婦產科收治的完全性前置胎盤或者胎盤植入的患者40例，20例患者採用傳統的剖宮產終止妊娠方法，作為對照組；20例患者行產科聯閤介入科新開展的于DSA手術室進行的腹主動脈毬囊放置+剖宮產+髂內動脈、子宮動脈栓塞術，作為DSA組，比較兩組母嬰結跼的差彆。結果：兩組新生兒Apgar評分比較差異無統計學意義（P>0.05）；DSA組術中及產後失血量、輸血量均明顯低于對照組，差異均有統計學意義（P<0.05）；DSA組子宮切除率顯著低于對照組，母乳餵養率顯著高于對照組，差異均有統計學意義（P<0.05）。結論：剖宮產術中腹主動脈放置毬囊聯閤術後髂內動脈子宮動脈栓塞技術能夠顯著降低產時產後齣血量、輸血量、子宮切除率，併提高母乳餵養率。
목적：탐토부궁산술연합개입수술재완전성전치태반화태반식입중적림상응용개치。방법：회고성연구2011년6월-2013년12월본원부산과수치적완전성전치태반혹자태반식입적환자40례，20례환자채용전통적부궁산종지임신방법，작위대조조；20례환자행산과연합개입과신개전적우DSA수술실진행적복주동맥구낭방치+부궁산+가내동맥、자궁동맥전새술，작위DSA조，비교량조모영결국적차별。결과：량조신생인Apgar평분비교차이무통계학의의（P>0.05）；DSA조술중급산후실혈량、수혈량균명현저우대조조，차이균유통계학의의（P<0.05）；DSA조자궁절제솔현저저우대조조，모유위양솔현저고우대조조，차이균유통계학의의（P<0.05）。결론：부궁산술중복주동맥방치구낭연합술후가내동맥자궁동맥전새기술능구현저강저산시산후출혈량、수혈량、자궁절제솔，병제고모유위양솔。
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 embolization technology can significantly reduce the intrapartum postpartum blood loss,blood transfusion amount,uterus resection rate,and increase the rate of breastfeeding.
