目的: 探讨无透视下腹主动脉球囊阻断术在中央型前置胎盘剖宫产术研究。方法: 回顾性分析2016
－01～ 2017－01 内蒙古医科大学附属医院产科收治的36 例完全性前置胎盘病人的资料。观察组: 应用腹主动脉
球囊阻断术的完全性前置胎盘病人20 例; 对照组: 未应用腹主动脉球囊阻断术的完全性前置胎盘病人16 例。
结果: 观察组与对照组比较，术中出血量分别为490．00±497．52mL、1181．25±1208．83mL，差异具有统计学意义( P＜
0．05) ，观察组术中出血量明显减少。观察组与对照组子宫切除率分别为10%( 2 /20) 、43．75%( 7 /16) ，差异有统
计学意义( P＜0．05) ，观察组子宫切除率明显下降。结论: 无透视下腹主动脉球囊阻断术可有效控制中央型前置
胎盘的术中出血量，降低子宫切除率。

Objective: To investigate the study of abdominal aorta balloon occlusion without fluoroscopy
in cesarean section of central placenta previa．Methods: The data of 36 patients with central placenta
previa from obstetrics and gynecology in the Affiliated Hospital of Inner Mongolia Medical University
from January 2016 to January 2017 were analyzed retrospectively．Observation group: 20 patients
with central placenta previa underwent abdominal aortic balloon preset and occlusion，and the control
group: 16 patients with central placenta previa who did not have abdominal aortic balloon occlusion．Ｒesults:
Compared with the control group 1181．25±1208．83mL， the blood loss in the observation group
was 490．00±497．52mL， the difference was statistically significant( P = 0．026) ，and the blood loss in the
observation group was significantly reduced．The observation group and the control group of uterus resection
rate was 10% ( 2 /20) and 43．75% ( 7 /16) ， the difference was statistically significant ( P =
0．026) ， the observation group significantly decreased the rate of hysterectomy．Conclusion: Application
of abdominal aorta balloon occlusion without fluoroscopy can effectively control bleeding in central pla-
centa previa during operation， reduce the uterus resection rate．

Ｒ714．7

 收稿日期: 2017－09－11; 修回日期: 2017－11－07
基金项目: 内蒙古自治区科技计划项目( 2016)
作者简介: 丹花( 1989－) ，女，内蒙古医科大学2015 级在读硕士研究生。
通讯作者: 易媛媛，主任医师，硕士研究生导师，E－mail: Yiyuanyuan2005@ 126．com 内蒙古医科大学附属医院， 010050