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中国现代手术学杂志  2017, Vol. 21 Issue (6): 464-467    DOI: 10.16260/j.cnki.1009-2188.2017.06.016
  临床论著 |
胎盘边缘切口剖宫产对中央型前置胎盘的疗效及对产妇和新生儿的影响
张矛
陕西省人民医院妇产科, 陕西西安 710068
Clinical Effects of Cesarean Section through Placental Edge Incision for the Treatment of Central Placenta Praevia and Its Influence to the Maternal and Infant Health
ZHANG Mao
Department of Obstetrics and Gynecology,Shaanxi People's Hospital,Xi'an710068,Shaanxi,China
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摘要 目的研究胎盘边缘切口剖宫产对中央型前置胎盘产妇的疗效及预后影响。方法选取2011年3月至2015年8月,我院收治的中央型前置胎盘产妇84例。根据随机数字表法分为观察组及对照组各42例。对照组产妇采用子宫下段切口行剖宫产,观察组产妇则采用胎盘边缘切口行剖宫产。分别对比两组产妇的手术时间、术中出血量、不良妊娠结局发生情况、新生儿体质量与Apgar评分、产妇满意度。结果观察组产妇手术时间(25.5±8.5)min,术中出血量(380±150)ml,输血例数2例(4.67%),均显著低于对照组的手术时间(42.5±12.5)min,术中出血量(680±160)ml,输血例数7例(16.67%),差异均有统计学意义(均P<0.05)。观察组新生儿窒息、新生儿死亡发生率分别为4.67%(2/42)、2.38%(1/42),均显著低于对照组的19.05%(8/42)、14.29%(6/42),差异均有统计学意义(均P<0.05)。观察组新生儿Apgar评分为8.0±1.0,显著高于对照组的7.0±0.3,差异有统计学意义(P<0.05)。观察组产妇满意度为95.24%(40/42),显著高于对照组的80.95%(34/42),差异有统计学意义(P<0.05)。结论胎盘边缘切口剖宫产应用于中央型前置胎盘产妇的疗效显著,可有效降低不良妊娠结局的发生,改善新生儿身体状况。
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张矛
关键词:  前置胎盘  剖宫产术  切口    
Abstract: ObjectiveTo study the clinical effects of Cesarean section through placental edge incision for the patients with central placenta praevia and its influence to the maternal and infant health.MethodsAccording to random number table,there were 84 cases in our hospital divided into the observation group(42 cases) and the control group(42 cases) from March 2011 to August 2015. The patients in the observation group receivedCesarean section through placental edge incision, while the control group received cesarean section through lower uterine segment incision.ResultsOperative time, intraoperative blood loss and the blood transfusion rate of the observation group were (25.5±8.5)min, (380±150)ml and 4.67% respectively, which were significantly lower than (42.5±12.5)min,(680±160)ml and 16.67% in the control group (allP<0.05). Neonatal asphyxia rate of the observation group was 4.67% (2/42), which was significantly lower than 19.05%(8/42) of the control group (P<0.05). The neonatal Apgar score of the observation group was 8.1±1.0, which was significantly higher than 7.0±0.3 of the control group (P<0.05). The maternal satisfaction rate of the observation group was 95.24% (40/42), which was significantly higher than 80.95% (34/42) of the control group (P<0.05).ConclusionIt is effective of the Cesarean section through placental edge incision for the patients of central placenta praevia, which can effectively reduce the incidence of adverse pregnancy outcomes and improve the newborn health.
Key words:  placenta praevia    Cesarean section    incision
                    发布日期:  2018-05-28      期的出版日期:  2017-12-26
ZTFLH:  R719.8  
基金资助: 陕西省自然科学基金(编号:2016JM8099)
通讯作者:  张矛   
作者简介:  张矛,男,42岁,陕西省人民医院妇产科主治医师,在职博士,研究方向:胎儿医学和妇科内分泌。
引用本文:    
张矛. 胎盘边缘切口剖宫产对中央型前置胎盘的疗效及对产妇和新生儿的影响[J]. 中国现代手术学杂志, 2017, 21(6): 464-467.
ZHANG Mao. Clinical Effects of Cesarean Section through Placental Edge Incision for the Treatment of Central Placenta Praevia and Its Influence to the Maternal and Infant Health. Chinese Journal of Modern Operative Surgery, 2017, 21(6): 464-467.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.06.016  或          http://www.surgerychina.com/CN/Y2017/V21/I6/464
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