凶险型前置胎盘手术治疗围术期综合治疗方法及疗效临床评价  

The Clinical Evaluation of Perioperative Integrated Operation Approaches in Operation Treatment of Pernicious Placenta Previa

作　　者：张文慧[1] 李坚雄[1] 许韶荣 庄穗莲 石晶[2] 

机构地区：[1]深圳市龙岗区妇幼保健院妇产科,广东深圳518172 [2]四川大学华西第二医院产科,四川成都610041

出　　处：《昆明医科大学学报》2015年第11期92-94,共3页Journal of Kunming Medical University

基　　金：国家临床重点专科建设基金资助项目(2011-1)

摘　　要：目的探讨凶险性前置胎盘手术治疗围术期综合治疗方法的效果.方法将50例凶险性前置胎盘围术期患者分为治疗组29例和对照组21例.治疗组采用综合手术治疗方法,即剖宫产术前行子宫动脉置管,胎儿娩出后立即行介入治疗;对照组采用常规手术治疗方法.比较2组剖宫产术中出血量,24 h出血量,住院天数,子宫切除率及新生儿窒息率等相关指标.结果与对照组比较,治疗组手术时间、术中出血量、24 h出血量、术后住院时间均明显缩短,子宫切除率较低,差异有统计学意义(P<0.05);2组新生儿窒息率比较差异无统计学意义(P>0.05).结论综合治疗方法应用于凶险性前置胎盘患者围术期手术治疗,可缩短手术时间、控制大出血、降低子宫切除率,使患者尽可能的保持生理及心理的健康,是一种安全、有效的治疗方法,值得临床推广.Objective To investigate the clinical effect of perioperative integrated operation approaches on the operation treatment of pernicious placenta previa.Methods 50 patients with pernicious placenta were divided into the treatment group（29 cases） and the control group（21 cases）.Patients in treatment group were treated by integrated operation approaches, namely before cesarean section, patients were treated by uterine artery catheterization and after the baby was delivered, interventional therapy was applied immediately; patients in the control group were treated by routine operation method.The amount 24 h bleeding,hospital stay,hysterectomy rate and neonatal asphyxia rate were compared in the two groups.Results Compared with the control group,operative time, bleeding volume, bleeding volume in 24 h, postoperative hospitalization time in treatment group were shortened obviously, hysterectomy rate was lower significantly（P〈0.05）; the neonatal asphyxia rate difference between the two groups had no statistical significance（P〈0.05）.Conclusion Integrated operation approaches can shorten the operation time, bleeding and reduce the hysterectomy rate for patients with pernicious placenta previa,which can maintain the physical and mental health as much as possible,so it is a safe and effective treatment and worthy of clinical promotion.

关 键 词：凶险性前置胎盘 围术期 综合治疗 临床评价 

分 类 号：R714.43[医药卫生—妇产科学]