宫颈内口-子宫下段压迫缝合法用于凶险性前置胎盘伴胎盘植入术中止血的疗效评估

发布时间：2018-09-17 18:48

【摘要】：目的:研究宫颈内口-子宫下段压迫缝合法对于凶险性前置胎盘伴胎盘植入导致的术中子宫出血的治疗效果,以及实施该手术对于患者的远期影响。方法:选择2013年1月1日至2015年12月31日于厦门大学附属第一医院进行剖宫产的凶险性前置胎盘伴胎盘植入的患者,对其中应用宫颈内口-子宫下段压迫缝合法术中处理的16例患者的临床资料进行回顾性分析。结果:16例患者的平均分娩孕周35±3周,所有新生儿预后良好。术中平均出血量1300±499 ml。所有患者术中未出现周围器官损伤等手术并发症。无一例子宫切除。术后平均住院日5.1±1.6天,无一例转重症监护病房。术后产褥感染2例,经过加强抗感染治疗后痊愈。术后3个月及半年随访彩超检查,1例怀疑剖宫产瘢痕憩室形成。结论:宫颈内口-子宫下段压迫缝合法对于凶险性前置胎盘伴胎盘植入导致的术中子宫出血的治疗效果较好。
[Abstract]:Objective: to study the effect of cervical internal oro-uterine compression suture for intraoperative uterine bleeding caused by severe placenta previa with placenta accreta and its long-term effect. Methods: from January 1, 2013 to December 31, 2015, patients with dangerous placenta previa with placenta accreta were performed caesarean section at the first affiliated Hospital of Xiamen University. The clinical data of 16 patients treated with cervical internal oro-uterine compression suture were retrospectively analyzed. Results the average gestational age of 16 cases was 35 卤3 weeks, and the prognosis of all newborns was good. Mean intraoperative bleeding 1300 卤499 ml. No complications such as peripheral organ injury were found in all patients. No hysterectomy was found. The average postoperative hospital stay was 5.1 卤1.6 days, and none of the patients were transferred to intensive care unit. Two cases of puerperal infection were cured after intensive anti-infection therapy. After 3 months and half a year follow-up, color Doppler ultrasonography was performed in 1 case with suspected cicatricial diverticulum formation in cesarean section. Conclusion: the treatment of uterine bleeding caused by placenta previa and placenta accreta is effective.
【作者单位】：厦门大学附属第一医院;
【分类号】：R714.462

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