Application of “one-stop” dual interventional technique in pernicious placenta previa
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摘要: 目的 探讨“一站式”双介入技术在凶险性前置胎盘中的应用。 方法 回顾性分析2014年8月—2018年7苏北人民医院收治的46例凶险性前置胎盘孕妇临床资料,其中行子宫下段剖宫产术的20例孕妇为对照组,采用双侧髂内动脉球囊置入术联合子宫下段剖宫产术及选择性动脉栓塞术的26例孕妇为实验组。比较2组手术指标及术后并发症。 结果 实验组术中出血量、输血量及子宫切除率显著优于对照组(P<0.05)。2组术后出血量、住院时间、术后住院时间及新生儿窒息率无显著差异(P>0.05)。实验组孕妇术后腰、腹、臀痛发生率及腰腹痛持续时间均显著高于、长于对照组(P<0.05)。 结论 “一站式”双介入技术能有效降低凶险性前置胎盘出血量及子宫切除率,且安全性较好。Abstract: Objective To explore the application of "one-stop" dual interventional technique in treatment of pernicious placenta previa. Methods The clinical data of 46 patients with pernicious placenta previa from August 2014 to July 2018 in Subei People's Hospital was analyzed retrospectively. Among them, 20 pregnant women underwent cesarean section of lower uterine segment were selected as control group, and 26 pregnant women underwent bilateral internal iliac artery balloon implantation combined with cesarean section of lower uterine segment and selective artery embolization were selected as experimental group. The surgical indexes and postoperative complications were compared between the two groups. Results The bleeding volume, blood transfusion volume and hysterectomy rate in the experimental group were significantly higher than those in the control group(P<0.05). There were no significant differences in the amount of bleeding, hospitalization time, postoperative hospitalization time and neonatal asphyxia rate between the two groups(P>0.05). The incidence rate of lumbago pain, abdominal pain and buttock pain as well as duration of lumbago and abdominal pain in experimental group were significantly higher or longer than those in control group(P<0.05). Conclusion The "one-stop" dual interventional technique, with higher safty can significantly reduce the blood loss and hysterectomy rate in patients with pernicious placenta previa.
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