Analysis of the effect of bilateral iliac artery balloon occlusion on the cesarean section of catastrophe placenta previa

Abstract

Objective To investigate the effect of bilateral iliac artery balloon occlusion on the cesarean section of catastrophe placenta previa. Methods A total of 120 maternal with cesarean section of catastrophe placenta previa were randomly divided into two groups. The maternal in the control group were treated by local suture and intrauterine packing, and the maternal in the experimental group were given bilateral iliac artery balloon occlusion. The infant weigh, Apgar score, intraoperative blood loss, intraoperative blood transfusion, operation time, hysterectomy rate and poatoperative complications of the two groups were compared. Results Compared with the control group, the incidences of disseminated intravascular coagulation, deep venous thrombosis and surgical wound infection in the experimental group were significantly lower than those in the control group (P 0.05). There was no significant difference in the neonatal body weight or Apgar score between the two groups (P<0.05). Conclusions The application of double iliac artery balloon occlusion in the treatment of preclinical placenta cesarean section is accurate, the amount of blood loss and blood transfusion is reduced, the operation time is short, the incidence of maternal complications is fewer, there is little difference in the scores of newborn babies between double iliac artery balloon occlusion group and the non balloon occlusion group, so it is worthy of clinical promotion. Key words: Catastrophe placenta previa; Internal artery balloon closure; Cesarean section