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目的:评估预置髂内动脉球囊联合子宫动脉栓塞在凶险性前置胎盘的作用。方法:回顾性分析2014年5月至2015年9月就诊于我院的40例凶险性前置胎盘患者的临床资料。选择预置髂内动脉球囊和/或子宫动脉栓塞的20例患者作为研究组,传统方法止血的20例患者作为对照组。比较两组患者的出血量、输血量、是否行子宫切除、手术时间、住院时间及并发症的差异。结果:研究组平均出血量显著低于对照组[(800±359)ml vs(1875±1904)ml,P=0.01]。研究组2例输血,输入红细胞量为(0.38±1.37)U,对照组12例输血患者,输入红细胞量为(2.75±3.45)U。研究组无子宫切除,对照组1例子宫切除。两组手术时间、住院时间、术后并发症无明显差异。结论:预置髂内动脉球囊联合子宫动脉栓塞是治疗凶险性前置胎盘安全有效的方法。
OBJECTIVE: To evaluate the effect of pre-set internal iliac artery balloon combined with uterine artery embolization on precancerous placenta previa. Methods: The clinical data of 40 patients with dangerous placenta previa treated in our hospital from May 2014 to September 2015 were retrospectively analyzed. Twenty patients with pre-selected internal iliac artery balloon and / or uterine arterial embolism were selected as the study group. Twenty patients with conventional hemostasis were selected as the control group. The blood loss, blood transfusion, whether hysterectomy, operation time, hospital stay and complications were compared between the two groups. Results: The average bleeding in the study group was significantly lower than that in the control group [(800 ± 359) ml vs (1875 ± 1904) ml, P = 0.01]. In the study group, blood transfusion was performed in 2 patients, the amount of erythrocyte input was (0.38 ± 1.37) U, and that of the control group was (2.75 ± 3.45) U. Study group without hysterectomy, control group, 1 case of hysterectomy. The two groups of operation time, hospital stay, postoperative complications no significant difference. Conclusion: The preoperative internal iliac artery balloon combined with uterine artery embolization is a safe and effective method for the treatment of dangerous placenta previa.