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目的探讨围术期综合手术治疗凶险型前置胎盘的临床疗效。方法选取2009年5月—2015年10月遂宁市中心医院收治的59例凶险型前置胎盘围术期患者,根据临床治疗方法不同将患者分为观察组29例和对照组30例。对照组患者给予常规手术治疗,观察组患者给予综合手术治疗,比较两组患者术中出血量、24h出血量、住院时间、子宫切除率及新生儿窒息率。结果观察组患者术中出血量、24h出血量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。观察组患者子宫切除率、新生儿窒息率低于对照组,差异有统计学意义(P<0.05)。结论对凶险性前置胎盘患者行围术期综合治疗可明显缩短手术时间,控制术后出血量,降低患者子宫切除率,此种手术方法安全可行。
Objective To investigate the clinical effect of perioperative comprehensive surgical treatment of dangerous placenta previa. Methods From May 2009 to October 2015, 59 cases of perilous placenta previa were enrolled in Suining Central Hospital. According to the different clinical treatment methods, the patients were divided into observation group (29 cases) and control group (30 cases). The patients in the control group were given conventional surgery. The patients in the observation group were given comprehensive surgical treatment. The blood loss, blood loss, hospitalization time, hysterectomy and neonatal asphyxia were compared between the two groups. Results The bleeding volume of the observation group was less than that of the control group, the hospitalization time was shorter than that of the control group, the difference was statistically significant (P <0.05). The hysterectomy rate and neonatal asphyxia rate in the observation group were lower than those in the control group, the difference was statistically significant (P <0.05). Conclusion Perioperative comprehensive treatment of patients with dangerous placenta previa can significantly shorten the operation time, control the amount of postoperative bleeding and reduce the rate of hysterectomy in patients. This surgical method is safe and feasible.