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目的:探究中央性前置胎盘患者围产期急症子宫切除术的临床治疗效果及特点。方法:选择于2015年1月至2015年12月到该院进行治疗的238例中央性前置胎盘患者作为研究对象,其中18例子宫切除为观察组,220例未切除子宫,作为对照组。对两组的手术时间、出血量、并发症及预后等情况进行对比分析。结果:观察组在手术时间、出血量、使用悬浮红细胞量、使用血浆量等方面均多于对照组(P<0.05)。结论:医护人员要对影响中央性前置胎盘患者行围产期急症子宫切除的各项因素有充分的认识,在术前做好充足的准备,重视围手术期的处理,根据患者的具体情况把握好子宫切除准确时机,提高子宫切除术的成功率,提高产妇的生活质量。
Objective: To investigate the clinical effect and characteristics of perinatal emergency hysterectomy in patients with central placenta previa. METHODS: A total of 238 patients with central placenta previa who were admitted to the hospital from January 2015 to December 2015 were enrolled. Among them, 18 patients underwent hysterectomy in the observation group and 220 patients who did not undergo uterine resection as the control group. The operation time, blood loss, complications and prognosis of the two groups were compared and analyzed. Results: The observation group had more operation time, amount of bleeding, the amount of suspended erythrocytes, plasma volume and so on than the control group (P <0.05). Conclusion: The medical staff should fully understand the various factors affecting the perinatal emergency hysterectomy in patients with central placenta previa, make adequate preparations before surgery, pay attention to the perioperative management, according to the specific conditions of patients Grasp the exact timing of hysterectomy, improve the success rate of hysterectomy, improve the quality of life of pregnant women.