腹主动脉下段球囊阻断在中孕期胎盘植入宫腔镜手术中的应用研究

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摘要目的探讨腹主动脉下段球囊阻断在中孕期胎盘植入宫腔镜手术中的应用效果。方法选取2019年1月至2020年10月江西省妇幼保健院收治的50 例中孕引产后部分性胎盘植入患者作为研究对象，采用随机数字表法将其分为对照组和研究组，各25 例。对照组患者直接行宫腔镜植入胎盘组织电切术治疗，研究组患者采用腹主动脉球囊阻断后再行宫腔镜植入胎盘组织电切术治疗。比较两组患者的时间指标、术中出血量、住院费用、二次手术率以及手术并发症发生情况。结果研究组的宫腔镜手术时间、术后住院时间、血人绒毛膜促性腺激素（HCG）复常时间、月经复潮时间均短于对照组，术中出血量少于对照组，差异有统计学意义（P＜0.05）。研究组的住院费用高于对照组，差异有统计学意义（P＜0.05）。研究组的手术并发症总发生率低于对照组，差异有统计学意义（P＜0.05）；研究组的二次手术率低于对照组，差异有统计学意义（P＜0.05）。结论中孕期胎盘植入宫腔镜手术中应用腹主动脉下段球囊阻断能够缩短手术时间，减少术中出血和并发症风险，促进术后康复，值得临床推荐。

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	周爱龙
	万玉珍

关键词 ：中孕期, 胎盘植入, 宫腔镜手术, 腹主动脉下段球囊阻断

Abstract：Objective To investigate the application effect of balloon occlusion of inferior segment of abdominal aorta in hysteroscopic operation of placenta accreta in second trimester pregnancy. Methods A total of 50 cases of partial placenta accreta in second trimester pregnancy in Jiangxi Maternal and Child Health Hospital from January 2019 to October 2020 were selected as the research objects, They were divided into the control group and the study group by random number table method, 25 cases in each group. Patients in the control group were treated with hysteroscopic resection of placenta accreta, while patients in the study group were treated with abdominal aorta balloon occlusion and hysteroscopic resection of placenta accreta. The time index, intraoperative blood loss, hospitalization expenses, secondary operation rate and operation complications of the two groups were compared. Results The hysteroscopic operation time, postoperative hospital stay, blood human chorionic gonadotropin (HCG) normalization time and menstrual rehydration time of the study group were shorter than those of the control group, and the intraoperative blood loss of the study group was less than that of the control group, the differences were statistically significant (P＜0.05). The hospitalization cost of the study group was higher than that of the control group, the difference was statistically significant (P＜0.05). The total incidence of complications in the study group was lower than that of the control group, the difference was statistically significant (P＜0.05). The second operation rate of the study group was lower than that of the control group, the difference was statistically significant (P＜0.05). Conclusion The application of the balloon occlusion of inferior segment of abdominal aorta can shorten the operation time, reduce the risk of bleeding and complications during the operation, and promote the postoperative recovery, which is worth clinical recommendation.

Key words： Second trimester of pregnancy Placenta accreta Hysteroscopic surgery Balloon occlusion of the lower segment of abdominal aorta

基金资助:江西省卫生健康委科技计划项目（20203635）。

引用本文:

周爱龙；万玉珍. 腹主动脉下段球囊阻断在中孕期胎盘植入宫腔镜手术中的应用研究[J]. 中国当代医药, 2021, 28(30): 106-108转112.
ZHOU Ai-long；WAN Yu-zhen. Application study of balloon occlusion of inferior segment of abdominal aorta in hysteroscopic operation of placenta accreta in second trimester pregnancy. 中国当代医药, 2021, 28(30): 106-108转112.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I30/106

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