摘要
目的探讨凶险性胎盘前置患者的剖宫产手术中应用介入治疗的临床效果。方法择取该院于2018年6月—2019年6月期间收治的62例凶险性前置胎盘患者,根据患者的入院先后顺序将其划分为平行组和介入组,每组31例。平行组患者接受非介入治疗,介入组患者接受子宫动脉置管介入治疗,对比两组患者的出血量、手术时间、24 h出血量、产褥率、子宫切除率、感染率。结果介入组患者的出血量、手术时间、24 h出血量、产褥率、子宫切除率、感染率分别为(2433.6±527.9)mL、(73.2±6.8)min、(2701.8±611.5)mL、0.0%、0.0%、3.2%,平行组患者的出血量、手术时间、24 h出血量、产褥率、子宫切除率、感染率分别为(2916.8±849.2)mL、(108.5±9.1)min、(3824.2±987.6)mL、16.1%、35.5%、19.4%,介入组优于平行组,组间数据差异有统计学意义(t=2.691、17.301、5.380,χ~2=5.439、13.373、4.026,P=0.009、0.000、0.000、0.020、0.000、0.045<0.05)。结论针对凶险性胎盘前置患者的剖宫产手术中给予介入治疗,相较于非介入治疗能够显著减少患者的出血量、手术时间及24 h出血量,减少子宫切除率,降低感染、产褥等并发症的发生率,具有重要的临床意义,值得推广和应用。
Objective To investigate the clinical effects of interventional therapy in cesarean section in patients with sinister placenta previa.Methods Sixty-two patients with sinister placenta previa were enrolled in the hospital from June 2018 to June 2019.They were divided into parallel group and intervention group according to the order of admission,with 31 cases in each group.Patients in the parallel group received non-interventional therapy.Patients in the intervention group underwent uterine artery catheterization.The bleeding volume,operative time,24 h blood loss,puerperal rate,hysterectomy rate,and infection rate were compared between the two groups.Results The amount of bleeding,operation time,24-h blood loss,calving rate,hysterectomy rate and infection rate of the in-tervention group were(2433.6±527.9)mL,(73.2±6.8)min,(2701.8±611.5)mL,0.0%,0.0%,3.2%,the amount of bleeding,operation time,24 h blood loss,calving rate,hysterectomy rate,and infection rate of the parallel group were(2916.8±849.2)mL,(108.5±9.1)min,(3824.2±987.6)mL,16.1%,35.5%,19.4%.The intervention group was superior to the parallel group.There were statistical differences between the groups(t=2.691,17.301,5.380,χ~2=5.439,13.373,4.026,P=0.009,0.000,0.000,0.020,0.000,0.045<0.05).Conclusion Interventional therapy for cesarean section in patients with sinister placenta previa can significantly reduce the amount of bleeding,operative time and 24 h blood loss,reduce the rate of hysterectomy,reduce infection and production compared with non-in-terventional therapy.The incidence of complications such as sputum has important clinical significance and is worthy of promotion and application.
作者
唐传珩
TANG Chuan-heng(Department of Obstetrics,Baoshan People's Hospital,Baoshan,Yunnan Province,678000 China)
出处
《世界复合医学》
2020年第1期45-47,共3页
World Journal of Complex Medicine
关键词
凶险性前置胎盘
剖宫产
介入治疗
临床效率
Sinister placenta previa
Cesarean section
Interventional therapy
Clinical efficiency
作者简介
唐传珩(1976-),女,白族,云南保山人,本科,副主任医师,主要从事产科临床诊疗工作。
