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| Efficacy of balloon occlusion of the internal iliac artery for treating pregnant women with dangerous placenta previa, and its influence on levels of AFP and HCGof women |
| Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University (Nanjing Maternal and Child Health Care Hospital), Jiangsu Province, 210000 |
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Abstract Objective: To explore the efficacy of balloon occlusion of the internal iliac artery for treating pregnant women with dangerous placenta previa, and to study its influence on levels of Alphafetoprotein (AFP), human chorionic gonadotropin (HCG) of women. Methods: 70 pregnant women with dangerous placenta previa were selected and were divided into observation group (n=36) and control group (n=34) from July 2013 to July 2018. The women in the control group were treated by non-uterine artery embolization, while the women in the observation group were treated by balloon occlusion of internal iliac artery. The operative situation, levels of estradiol (E2), luteinizing hormone (LH), and follicle stimulating hormone (FSH), rate of complications, and menstruation recovery situation of women were compared between the two groups. Results: The operation time, vaginal bleeding time, and hospital stay, intraoperative blood loss volum, intraoperative blood transfusion volum, and postpartum blood loss volum of women in the observation group were 65.34±6.34min, 4.95±1.21d, 7.41±2.45d, 2071.3±301.3ml, 1356.3 ±215.4ml, and 2080.1 ±112.4ml, which were significant lower than those of women in the control group (P<0.05). After treatment, the levels of sex hormones of women in both groups had significantly improved. E2 level of women in the observation group was significant higher than that of women in the control group, but the levels of AFP and HCG, LH and FSH of women in the observation group were significant lower (P<0.05). The total incidence of complications of women in the observation group was was 13.9%, which was significant lower than that (44.1%) of women in the control group (P<0.05). Menstruation recovery time of women in the observation group was 54.2±11.2d, which was significant shorter than that of women in the control group (P<0.05). Conclusion: The balloon occlusion of internal iliac artery used for treating women with dangerous placenta previa has good effectiveness, which can effectively improve the levels of AFP and HCG, shorten menstrual recovery time, and improve hormone level of women.
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