CAJ | 학술논문

目的探讨术前预防性应用双侧髂内动脉球囊封堵术联合术中宫腔球囊填塞在减少凶险性前置胎盘剖宫产术中出血的临床疗效. 方法回顾性分析46例术前预防性应用双侧髂内动脉球囊封堵术的凶险性前置胎盘(介入组)和39例术前未行双侧髂内动脉球囊封堵术的凶险性前置胎盘(非介入组)患者的剖宫产结局. 结果介入组子宫切除率、术中平均出血量、合并胎盘植入患者的平均出血量均低于非介入组,差异有统计学意义(P<0. 05),介入组无相关介入并发症发生,两组新生儿结局比较,差异无统计学意义( P>0. 05 ). 结论凶险性前置胎盘剖宫产术前预防性应用双侧髂内动脉球囊封堵术联合术中宫腔球囊填塞控制术中出血,必要时术毕加行双侧子宫动脉栓塞术,具有术中出血量少、并发症少、子宫切除率低等优势,是一种值得推荐的保守治疗模式.
목적 탐토술전예방성응용쌍측가내동맥구낭봉도술연합술중궁강구낭전새재감소흉험성전치태반부궁산술중출혈적림상료효. 방법 회고성분석46례술전예방성응용쌍측가내동맥구낭봉도술적흉험성전치태반(개입조)화39례술전미행쌍측가내동맥구낭봉도술적흉험성전치태반(비개입조)환자적부궁산결국. 결과 개입조자궁절제솔、술중평균출혈량、합병태반식입환자적평균출혈량균저우비개입조,차이유통계학의의(P<0. 05),개입조무상관개입병발증발생,량조신생인결국비교,차이무통계학의의( P>0. 05 ). 결론 흉험성전치태반부궁산술전예방성응용쌍측가내동맥구낭봉도술연합술중궁강구낭전새공제술중출혈,필요시술필가행쌍측자궁동맥전새술,구유술중출혈량소、병발증소、자궁절제솔저등우세,시일충치득추천적보수치료모식.
Objective To explore the clinical efficacy of combined treatment of preoperative prophylactic bilateral iliac artery balloon catheterization and intraoperative intrauterine balloon tamponade in controlling hemorrhage during cesarean section of patients with pernicious placental previa. Methods We retrospectively compared the outcomes of cesarean section between two groups of patients with pernicious placenta previa, including 46 cases who were treated with preoperative prophylactic bilateral iliac artery balloon catheter catheterization( intervention group ) and 39 cases who were not( non-intervention group) . Results Uterus resection rate ,average blood loss and average blood loss of patients with placenta accrete in the intervention group were significant-ly lower than that in the non-intervention group(P<0. 05). There were no related complications in the intervention group, neonatal outcome between two groups had no significantly difference(P>0. 05). Conclusion With the advantages of reducing blood loss, complications and uterus resection rate, combined therapy of preoperative prophylactic bilateral iliac artery balloon catheterization and intraoperative intrauterine balloon tamponade, and postoperative bilateral uterine artery embolization if necessary during cesarean sec-tion in patients with pernicious placenta previa proves to be a promising conservative treatment.