摘要
目的探讨预防性结扎双侧子宫动脉上行支在中央性前置胎盘剖宫产术中的临床疗效。方法回顾性分析行剖宫产的中央性前置胎盘患者117例临床资料,其中56例术中胎儿娩出后先预防性结扎双侧子宫动脉上行支,然后处理胎盘的为研究组;61例术中胎儿娩出后常规处理胎盘的为对照组,观察两组手术时间、术中出血量、子宫切除率。结果中央性前置胎盘术中出血量与是否合并瘢痕子宫、胎盘植入、前壁胎盘显著相关(P<0.05);研究组术中出血量、手术时间低于对照组,差异有统计学意义(P<0.05),两组子宫切除率差异无统计学意义(P>0.05)。结论预防性结扎双侧子宫动脉上行支在中央性前置胎盘剖宫产术中能有效减少术中出血量,特别适用于合并瘢痕子宫、胎盘植入、前壁胎盘的患者。
Objective To explore the clinical efficacy of prophylactic bilateral ascending branches ligation of uterine artery during ce- sarean section of placenta previa centralis. Methods The clinical data of 117 cases with placenta previa centralis undergoing cesarean sec- tion were analyzed retrospectively; 56 cases （s,udy group） were treated by prophylactic bilateral ascending branches ligation of uterine artery before removal of placenta during cesarean section; 61 cases （control group） were treated by routine management during cesarean section; the operation time, the amounts of blood loss during operation, and the rates of hysterectomy in the two groups were observed. Results The amount of blood loss during operation was significantly correlated with scarred uterus, placenta implantation, and placenta previa （P〈0. 05 ） ; the amount of blood loss during operation and operation time in study group were statistically significantly lower than those in control group （P〈O. 05 ）, there was no statistically significant difference in the rate of hysterectomy between the two groups （ P〉O. 05 ） . Conclusion Prophylactic bilateral ascending branches ligation of uterine artery during cesarean section of placenta previa centralis can effectively reduce the amount of blood loss during operation, which is suitable for the cases with scarred uterus, nlacenta imnlantation, and placenta previa.
出处
《中国妇幼保健》
CAS
2016年第4期857-859,共3页
Maternal and Child Health Care of China
关键词
中央性前置胎盘
子宫动脉结扎
瘢痕子宫
胎盘植入
Placenta previa centralis
Uterine artery ligation
Scarred uterus
Placenta implantation
