剖宫产术中部分胎盘植入保守性手术治疗效果  

Cesarean Section in Placenta Implantation OperationEffect of Conservative Treatment

作　　者：梁云萍[1] 

机构地区：[1]湖北省新华医院妇产科,湖北武汉430015

出　　处：《医学新知》2012年第3期178-180,共3页New Medicine

摘　　要：目的 比较剖宫产术中部分胎盘植入Cho-补丁术和改良背带式缝合术两种保守性手术治疗的效果.方法 剖宫产术中根据胎盘与子宫壁的关系诊断胎盘植入,运用Cho-补丁术、改良背带式缝合术两种保守性手术治疗方法进行治疗.结果 4638例剖宫产孕妇中,术中诊断部分性胎盘植入53例,采用局部胎盘附着面修剪后,DG线Cho-补丁术23例、DG线改良背带式缝合术30例.Cho-补丁术组术后有5例因活动性出血行子宫动脉栓塞术,输血治疗13例;改良背带式缝合组术后无明显活动性出血,输血治疗7例.两组有明显的差异.结论 术中发现胎盘植入,快速有效止血方面改良背带式缝合术较Cho-补丁缝合术更安全有效.Objective Comparison of cesarean section in placenta implantation Cho - patch surgery and modi- fied brace suture technique of two kinds of conservative operation treating effect. Methods We Diagnosed of placenta accreta according to the relationship of placenta and uterine wallaccrete and applied two kinds of conservative treat- ment of Cho - patchand improved parceled suture operation. Results In 4 638 cases of cesarean delivery in pregnant women,intraoperative diagnosis of 53 cases of placenta accreta, DG line Cho - patch of 23 cases, DG line improve- ment parceled suture in 30 cases after pruning the local placental attachment surface. 5 patients with active bleeding suffered uterine artery embolization after the Cho - patc and 13 cases with therapeutic blood transfusion. No case with obvious postoperative active bleeding in improved brace suture group and 7 cases with transfusion therapy. The two groups had obvious difference. Conclusion Improved parceled suture is more safe and effectiver than The Cho - patch suture in intraoperative findings of placental implantation on the rapid and effective hemostasis.

关 键 词：剖宫产术 胎盘植入 保守性手术治疗 

分 类 号：R719.8[医药卫生—妇产科学]