摘要
目的:研究剖宫产同时行子宫部分切除整形术治疗植入性凶险性前置胎盘的临床疗效及影响手术疗效的相关因素。方法:选取2008年1月至2018年1月入本院妇产科就诊的植入性凶险性前置胎盘患者30例。按照患者手术方式的不同分为研究组(n=15)和对照组(n=15)。研究组采用子宫部分切除整形术治疗,对照组采用子宫全切术治疗。比较两组患者手术优良率及术后并发症。术后按照治疗效果分为良好和一般,比较两组患者一般临床资料,Logistic回归分析影响植入性凶险性前置胎盘手术疗效的相关影响因素。结果:研究组术中及术后情况均优于对照组(P<0.05)。疗效优良患者在平均年龄、分娩次数、BMI、妊高征、吸烟和手术方式等临床资料上存在显著差异(P<0.05)。Logistic多因素回归分析发现患者年龄、分娩次数、妊高征、吸烟和手术方式等因素是直接影响术后疗效的重要危险因素(P<0.05)。手术方式对患者疗效的影响程度最高。结论:子宫部分切除整形术能有效减少术中出血,降低产妇风险,可为植入性凶险性前置胎盘的治疗提供临床参考。
Objective:To explore the clinical efficacy of hysterectomy in the treatment of implantable dangerous placenta previa and the related factors affecting the curative effect.Methods:30 patients with implanted sinister placenta previa were enrolled in our (Department of obstetrics and gynecology from January 2008 to January 2018. According to the different surgical methods, the patients were divided into experimental group ( n =15) and control group ( n =15). The experimental group was treated with partial hysterectomy and the control group was treated with total hysterectomy. The excellent and good surgical outcomes and postoperative complications were compared between the two groups. According to the treatment effect, the patients were divided into good and general. The general clinical data of the two groups were compared. Logistic regression analysis was used to analyze the related factors affecting the efficacy of implantable sinus placenta previa. Results: The intraoperative and postoperative conditions of the experimental group were superior to the control group ( P < 0.05). There were significant differences in the clinical data of mean age, number of delivery, BMI, pregnancy-induced hypertension, smoking and surgical methods in patients with good efficacy ( P < 0.05). Logistic multivariate regression analysis found that factors such as age, number of births, pregnancy-induced hypertension, smoking and surgical methods were important risk factors that directly affected postoperative outcomes ( P < 0.05). The surgical approach has the highest impact on patient outcomes. Conclusion:Partial resection of the uterus can effectively reduce intraoperative bleeding and reduce maternal risk, which can provide a clinical reference for the treatment of implantable and dangerous placenta previa.
作者
王敏捷
Wang Minjie(Department of Obstetrics and Gynecology,181st Hospital of Chinese People'sLiberation Army,Guilin,Guangxi 541002)
出处
《中外女性健康研究》
2019年第12期14-16,共3页
Women＇s Health Research
