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| Effect of the uterine vascular ligation and cervical circular ligation combined with bilateral iliac artery balloon occlusion for treating patients with pernicious previa placenta and placenta accreta |
| Xinxiang Central Hospital, Xinxiang, Henan Province, 453099 |
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Abstract To explore the efficacy of the uterine vascular ligation and cervical circular ligation combined with bilateral iliac artery balloon occlusion for treating patients with pernicious previa placenta(PPP) and placenta accreta. Methods: The clinical data of 56 patients with PPP and placenta accreta from March 2019 to May 2023 were selected in this study. According to the different treatment methods, these patients were divided into two groups, including 26 patients with the treatment of uterine artery ligation and cervical cerclage combined with bilateral internal iliac artery balloon occlusion in study group and 30 patients with the treatment of simple bilateral internal iliac artery balloon occlusion control in the control group. The relevant indicators of the patients in the two groups were analyzed. Results: The hospitalization time(6.6±1.2d) and the hospitalization cost(32 000±6000 Yuan) of the patients in the study group were significantly lower than those(7.9±1.5d and 43 000±10 000 Yuan) of the patients in the control group. The levels of alphafetoprotein and chorionic gonadotropin of the patients in the two groups after treatment had decreased significantly, and which(82.6±26.3 ng/ml and 122.3±56.3 mIU/ml) of the patients in the study group were significantly lower than those(113.0±41.1 ng/ml and 649.5±86.5 mIU/ml) of the patients in the control group. The total complications rate(3.8%) of the patients in the study group was significantly lower than that(23.3%) of the patients in the control group(P<0.05). There was no significant difference in the neonatal Apgar score(9.6±0.3 points vs. 9.3±0.6 points) of the patients between the two groups(P>0.05). Conclusion: The efficacy of the uterine vascular ligation and cervical circular ligation combined with bilateral iliac artery balloon occlusion for treating the patients with PPP and placenta accreta has better effect, and which can reduce their postoperative complications and improve their postoperative recover, and without the adverse effect on their newborns.
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