摘要
在剖宫产术前可通过病史资料和影像学检查来了解前置胎盘附着位置,而剖宫产术中直视所见虽是最终诊断,但却是滞后的诊断,故其只能作为对术前评估不足的补充。剖宫产术是前置胎盘终止妊娠的主要方式,而选择子宫切口沿着胎盘边缘相比必须"打洞"穿过胎盘组织取胎者的母源性失血和新生儿贫血发生率显著降低。对不同前置胎盘的患者的术式选择应个别对待,根据超声胎盘定位及术中评估等制定个体化手术方案,只要选对子宫的切口,尽量避免胎盘"开窗",可有效减少母儿不良预后。
The history data and imaging of patient before cesarean section can make us understand the placenta position of placenta previa, cesarean sectionin orthoptic seen, though the final diagnosis, but is lagging behind the diagnosis, it only as to preoperative assessment insufficient added. Cesarean section is the main treatment of placenta previa, and incision choosing along the edge of placenta compares with incision must be ＂ hole＂ cross the placenta, which will reduce the rate of mother＇s blood loss and neonatal anemia significantly. Surgical treatment of patients with different placenta previa should be selected, according to preoperative ultrasound placenta positioning and intraoperative assessment to set individualized operation program. If you choose the incision of uterus rightly, avoiding placenta ＂ window＂, you can effectively reduce mother and neonatal adverse outcomes.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2011年第6期411-413,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
前置胎盘
剖宫产
胎盘移行
切口选择
placenta previa
cesarean section
placen- ta migration
incision selection
