钳夹缝扎技术处理前置胎盘局部粘连或植入的应用研究

发布时间：2018-07-08 08:26

本文选题：剖宫产 + 前置胎盘　；参考：《中国实用妇科与产科杂志》2015年05期

【摘要】：目的探讨钳夹缝扎技术在前置胎盘局部存在胎盘粘连或植入中应用的安全性和有效性。方法 2009年1月至2013年1月中国医科大学附属第一医院产科共分娩4306例产妇,其中前置胎盘82例(发生率1.90%)。排除凶险性前置胎盘、双胎、边缘性前置胎盘及存在其他能引起出血的疾病的孕妇。共纳入64例前置胎盘行剖宫产术术中发现不同程度的部分胎盘粘连或植入的孕妇为研究对象,术中采用奇偶数分组法分为研究组(采用钳夹缝扎技术处理前置胎盘局部粘连或植入处)和对照组(常规处理胎盘粘连或植入),各为32例。比较分析两组孕妇术中及术后情况。结果两组孕妇在血红蛋白减少[(9.4±6.7)g/L、(24.5±8.6)g/L]、手术时间[(51.2±12.1)min、(76.4±20.4)min]、子宫动脉结扎方面差异均有统计学意义(P0.05)。术后两组均未发生胎盘残留和滋养细胞疾病。结论剖宫产术中采用钳夹缝扎的方法处理前置胎盘粘连或植入的部分安全有效,值得推广。
[Abstract]:Objective to investigate the safety and efficacy of clamp suture technique in placenta previa with placenta adhesion or accreta. Methods from January 2009 to January 2013, there were 4306 cases of parturient in obstetrics of the first affiliated Hospital of China Medical University, of which 82 cases (1.90%) were placenta previa. Rule out dangerous placenta previa, twin, marginal placenta previa and other bleeding-causing diseases. A total of 64 pregnant women with different degrees of placenta adhesion or implantation during cesarean section of placenta previa were included in the study. The group with odd and even number was divided into two groups: the study group (treated by clamp and suture technique) and the control group (32 cases were treated with placenta accreta or placenta accreta). The intraoperative and postoperative conditions of pregnant women in the two groups were compared and analyzed. Results there were significant differences in hemoglobin (9.4 卤6.7) g / L, (24.5 卤8.6) g / L, operative time (51.2 卤12.1) min, (, 76.4 卤20.4 min) and uterine artery ligation between the two groups (P0.05). Placental residue and trophoblastic disease were not found in both groups. Conclusion it is safe and effective to treat placenta previa adhesions or placenta accreta by clamp and suture during cesarean section, which is worth popularizing.
【作者单位】：中国医科大学附属第一医院产科;
【分类号】：R714.462

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