摘要
目的 比较前置胎盘剖宫产子宫下段横切口和子宫下段纵切口对产时并发症、产后出血量及围产期结局的影响。方法 以行子宫下段横切口剖宫产者为对照组 ( 1 1 7例 ) ,以子宫下段纵切口剖宫产术为研究组( 1 42例 ) ,分别记录两组研究对象剖宫产术时并发症、产时和产后 2 4小时累计出血量、产后出血发生率及围产期结局。结果 年龄、孕产次、孕周及前置胎盘类型和胎盘附着位置等有关因素比较无显著性 (P >0 0 5)。两组间的术时出血量、产后出血发生率、子宫切口撕裂发生率、宫腔填纱条和子宫切除率、围产期结局的比较差异十分显著 ( P <0 0 1 )。结论 前置胎盘行子宫下段纵切口剖宫产术不仅可以减少术中出血量、产后出血率 ,而且避免子宫切口撕裂、宫腔填纱条和剖宫产术时子宫切除率也明显减少 ,是前置胎盘剖宫产结束妊娠的首选切口。
Objective To investigate the influence of transverse and longitudinal lower segment caesarean section on the outcome of newborn, postpartum haemorrhage and ratio of complications in placenta previa. Methods Placenta previa with lower segment transverse caesarean section(117 cases) were taken as control group, meanwhile,the lower segment with longitudinal section (142 cases) as experimental group. Their operational complications, amount of bleeding during and after operation and outcome of the perinatal period were analysed. Results No significant difference in age, parities, gestational weeks, the types of the placenta praevia and the locus of placenta between the two groups were found(P>0 05), while there were significant difference in the amount of bleeding during and after operation, the need of using gauze ribbon to stop bleeding, section splitting and rate of hysterectomy after caesarean section(P<0 01).Conclusion Lower segment longitudinal caesarean section in placenta praevia not only shows less bleeding during operation and lower rate of postpartum haemorrhage, but also avoids using gauzes to stop bleeding and causes lower rate of hysterectomy after caesarean section, so it can be the first choice when determining the style of section in placenta praevia.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2001年第2期87-89,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
前置胎盘
剖宫产术
产后出血
围产期结局
手术切口
Placenta previa Caesarean section Postpartum hemorrhage(PPH) Outcome of perinatal period
