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观察前置胎盘剖宫产切口选择及切口下胎盘的处理对术中出血及围产期结局的影响。结果表明,剖宫产子宫切口与胎盘位置无明显差异(P<0.05),而剖宫产子宫切口方式及取眙儿方式对术中出血量的影响差异十分显著(P<0.01)提示前置胎盘行子宫下段纵切口不仅减少术中出血量,且可避免横切口造成的子宫切口撕裂,是前置胎盘剖宫产结束妊娠的首选切口;避开胎盘及推开胎盘可明显减少出血量。
To observe the effect of placenta previa incision and placenta accreta on bleeding and perinatal outcome. The results showed that there was no significant difference between cesarean section and placenta (P <0.05). However, the effect of uterine incision and cesarean section on intraoperative blood loss was significantly different (P <0.01) Lower placenta uterine longitudinal incision not only reduce the amount of intraoperative bleeding, and can avoid transverse incision caused by uterine incision tear is the preferred cesarean section of the placenta pregnent pregnancy incision; avoid the placenta and push the placenta can significantly reduce the amount of bleeding .