凶险型前置胎盘围术期综合手术治疗方法探讨  

Investigation of the Comprehensive Surgical Method for Pernicious Placenta Previa During the Perioperative Period

作　　者：张飞飞[1] 

机构地区：[1]永州市职业技术学院附属医院妇产科,湖南永州425006

出　　处：《中外医疗》2014年第21期68-69,共2页China & Foreign Medical Treatment

摘　　要：目的分析凶险性前置胎盘围术期综合手术治疗效果。方法收集2013年2月—2014年2月该院收治的60例凶险性前置胎盘患者临床资料,按照不同的治疗方法,分为研究组与对照组,每组例数均为30。对照组常规方法进行处理,研究组采取凶险性前置胎盘围术期综合手术方法治疗,最后分析两组患者临床治疗效果。结果研究组患者手术时间、手术中出血量、术后2 h出血量分别为(54.77±4.45)min、(277.33±210.55)mL、(57.66±5.67)mL,明显少于对照组的(66.77±12.88)min、(53.77±22.74)mL、(78.55±6.80)mL,差异有统计学意义(P<0.05)。研究组患者异常体温时间、血性恶露时间、月经恢复时间分别为(2.43±1.43)d、(7.38±4.66)d、(8.66±2.67)d,明显短于对照组的(4.67±2.44)d、(9.99±3.22)d、(11.55±4.13)d,差异有统计学意义(P<0.05)。结论凶险性前置胎盘围术期综合手术方法治疗,有利于降低术中出血量,减少手术时间,改善患者临床症状,值得临床推广。Objective To analyze the effect of comprehensive surgical method for pernicious placenta previa during the periopera-tive period. Methods The clinical data of 60 cases with pernicious placenta previa admitted in our hospital from February 2013 to February 2014 were collected, and they were divided into the research group and the control group with 30 cases in each accord-ing to different treatment method. The control group were treated with conventional method, and the research group were treated with comprehensive surgical method for pernicious placenta previa during the perioperative period. And the clinical therapeutic ef-fect of the two groups of patients was analyzed. Results The duration of operation, intraoperative blood loss, the bleeding volume 2h after the operation of the research group was （54.77±4.45）min, （277.33±210.55）mL, （57.66±5.67）mL, respectively, significantly less than the control group＆#39;s （66.77±12.88）min, （53.77±22.74）mL,（78.55±6.80）mL, the difference was statistically significant （P〈0.05）. The duration of abnormal body temperature and lochia sanguinea, and menstrual recovery time of the research group was （2.43±1.43）d, （7.38±4.66） d, （8.66±2.67）d, significantly shorter than the control group＇s （4.67±2.44）d, （9.99±3.22）d, （11.55±4.13） d, the difference was statistically significant（P〈0.05）. Conclusion Comprehensive surgical method for pernicious placenta previa is beneficial to reducing the intraoperative blood loss, shortening the duration of operation, improving the clinical symptoms of the patients, and is worthy of clinical promotion.

关 键 词：围术期 凶险型前置胎盘 综合手术方法 

分 类 号：R271.4[医药卫生—中医妇科学]