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| Application of ultrasound guided abdominal aortic balloon occlusion in cesarean section of central placenta previa with placenta implantation |
| CHEN Ying CHEN Baixiu |
| Department of Obstetrics, Liuzhou People′s Hospital Affiliated to Guangxi University of Technology, Guangxi Zhuang Autonomous Region, Liuzhou 545006, China |
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Abstract Objective To explore the value of the therapeutic effect of ultrasound guided abdominal aortic balloon occlusion in cesarean delivery in the management of central placenta previa with placenta implantation. Methods From January 2006 to December 2015, in Liuzhou People′s Hospital, the clinical data of 41 patients diagnosed of central placenta previa with placenta implantation were retrospectively analyzed, they were divided into the study group (14 cases, given cesarean section combine with the application of ultrasound guided abdominal aortic balloon occlusion) and the control group (27 cases, given routine cesarean section) according to the treatment method. The estimated blood loss, operation time of cesarean section, transfused red blood cells, hemoglobin before and after surgery, hysterectomy rate, newborn weight, 1 min Apgar score, 24 h postoperative bleeding, postoperative hospital, enucleation of the placenta accreta region and placenta condition in two groups were compared. Results The estimated blood loss, operation time of cesarean section and transfused red blood cells in the study group were lower than the control group, the differences were statistically significant (P < 0.05). The hysterectomy rate, newborn weight, 1 min Apgar score, 24 h postoperative bleeding, postoperative hospital, enucleation of the placenta accreta region and placenta condition in the two groups were compared, the differences were not statistically significant (P > 0.05). Conclusion Ultrasound guided abdominal aortic balloon occlusion in cesarean section might help to reduce estimated blood loss, transfused red blood cells and shorten the operation time of cesarean section in the treatment of central placenta previa with placenta implantation.
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