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| Application study of balloon occlusion of inferior segment of abdominal aorta in hysteroscopic operation of placenta accreta in second trimester pregnancy |
| ZHOU Ai-long WAN Yu-zhen |
| Department of Gynecology, Jiangxi Maternal and Child Health Hospital |
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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.
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