超声引导下髂内动脉阻断术在完全性前置胎盘剖宫产手术中的有效性及安全性

王毅　王晓红　叶丰蕾

[關键词] 完全性前置胎盘;剖宫产;髂内动脉阻断术;超声

[中图分类号] R719.8          [文献标识码] B          [文章编号] 1673-9701（2021）22-0069-04

The effectiveness and safety of ultrasound-guided internal iliac artery occlusion in cesarean section due to complete placenta previa

WANG Yi   WANG Xiaohong   YE Fenglei

Department of Orthopedics，Lishui Women and Children′s Hospital in Zhejiang Province， Lishui   323000， China

[Abstract] Objective To investigate the effectiveness and safety of ultrasound-guided internal iliac artery occlusion in cesarean section due to complete placenta previa. Methods A total of 80 pregnant women undergoing elective cesarean section in our hospital who were diagnosed as complete placenta previa in the Department of Obstetrics in our hospital and Zhuji Women and Children's Hospital from January 2019 to January 2020 were selected. They were divided into a control group and an experimental group by random number method， with 40 cases in each group. The control group was given conventional cesarean section， and the experimental group was given cesarean section + ultrasound-guided internal iliac artery occlusion. They were followed up for three months. The outcomes of delivery （duration of surgery， blood loss， blood transfusion， hysterectomy rate， Apgar score at one minute of birth）， postoperative complications （postpartum hemorrhage rate， puerperal infection rate， postpartum fever rate， incision infection）， length of hospital stay， follow-up results （duration of lochia and menstrual relapse time） were compared between the two groups. Results The duration of surgery in the experimental group was shorter than that in the control group， blood loss， and blood transfusion volume in the experimental group were less than those in the control group， and the differences between the two groups were statistically significant （P<0.05）. The rate of hysterectomy in the experimental group was lower than that in the control group， and the difference was statistically significant （P<0.05）; there was no difference in the Apgar score at one minute of birth between the two groups （P>0.05）. The postpartum hemorrhage rate， puerperal infection rate， postpartum fever rate， and incision infection rate in the experimental group were lower than those in the control group， and the differences between the two groups was statistically significant （P<0.05）. The length of hospital stay in the experimental group was shorter than that in the control group， and the difference between the two groups was statistically significant （P<0.05）. There was no statistically significant difference in the duration of lochia and the time of repeated menstruation compared between the experimental group and the control group （P>0.05）. Conclusion Ultrasound-guided internal iliac artery occlusion can reduce the blood loss of cesarean section due to complete placenta previa and reduce the rate of hysterectomy. It can improve the outcome of delivery and reduce the occurrence of complications.