Differential diagnosis of pernicious placenta previa combined with placenta accreta and comparative analysis of two arterial balloon preset interventional therapies
Abstract：Objective To explore the differential diagnosis of pernicious placenta previa ( PPP) combined with placenta accreta, and to analyze the efficacy of the two arterial balloon preset interventional therapies. Methods A total of 202 patients with PPP were divided into placenta accrete group (n=101) and non placenta accrete group (n=101) according to intraoperative observation and pathological diagnosis. All the patients underwent ultrasound combined with creatine kinase detection. The diagnosis results and confirmed results of the condition were compared to analyze the efficacy of the method in diagnosing. In addition, abdominal aortic balloon preset and bilateral internal iliac artery balloon preset were performed respectively on the patients of the two groups. Moreover, the application value of the two therapies in placenta previa combined with placenta accrete were compared and analyzed. Results The serum levels of CK in placenta accrete group were significantly higher than those in non placenta accrete group (P<0. 05). The diagnostic accuracy and sensitivity were 100% when the CK value was 105. 80 examined by ultrasonic detection combined with CK detection in diagnosis of placenta previa combined with placenta accrete. And the diagnostic accuracy and sensitivity were 95. 05% and 98. 60% ,respectively when the CK value was 64. 80 in diagnosis of PPP without placenta accrete. In addition, there were significant difference in blood loss, uterine resection rate, operation time and ICU stay time between abdominal aortic balloon preset treatment and bilateral internal iliac artery balloon preset intervention treatment (P<0. 05),moreover, abdominal aortic balloon preset treatment was superior to bilateral internal iliac artery balloon preset intervention treatment (P<0. 05). Conclusion Ultrasound combined with CK detection is very effective in differential diagnosis of pernicious placenta previa combined with placenta accrete. The clinical effects of abdominal aortic balloon preset treatment is superior to those of bilateral internal iliac artery balloon preset intervention treatment before cesarean section.
Keywords：ultrasoundcreatine kinasepernicious placenta previa with placenta accretadifferential diagnosisballoon preset interventional therapy
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 2158-2162 )