Clinicalevaluationoflowerabdominalaortaballoonocclusionassistingincesareansectionforperniciousplacentaprevia / 实用放射学杂志

ABSTRACT

Objective Toexploretheeffectivenessandsafetyofballoonocclusionofthelowerabdominalaortaincesareansection forpatientswithperniciousplacentaprevia.Methods Theclinicaldataof59patientswithperniciousplacentapreviawhounderwent cesareansectionwereevaluatedretrospectively.35casesweretreatedwithcesareansectionassistedwiththelowerabdominalaorta balloonocclusion (studygroup),24casesweretreatedwithcesareansectiontoterminatethepregnancy(controlgroup).Theoperation time,intraoperativebloodloss,intraoperativebloodtransfusion,bloodlosswithinpostoperative24h,hysterectomyrate,hospitalstay aftercesareansection,Apgarscoreandbirthweightofthetwogroupswerecompared.Results Theintraoperativebloodloss(778.5± 566.3)mL,intraoperativebloodtransfusion(288.5±392.2)mLandhysterectomyratewerelowerinthestudygroupthanthosein thecontrolgroup,withstatisticalsignificance(P＜0.05).Therewasnosignificantdifferencebetweentwogroupsinoperationtime, bloodlosswithinpostoperative24h,hospitalstayaftercesareansection,Apgarscoreandbirthweight(P＞0.05).Conclusion Incesarean sectionassistedwithballoonocclusionoflowerabdominalaortaforpatientswithperniciousplacentapreviaisasafeandeffective technique,whichcanreduceintraoperativebloodlossandbloodtransfusiontodecreasetheriskofhysterectomy.