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目的分析胎盘边缘切口在剖宫产手术治疗中央性前置胎盘中的临床应用效果。方法选择2007年1月-2011年12月间产科收治的产妇中94例中央型前置胎盘患者,随机分为观察组和对照组,观察组选择胎盘边缘切口,对照组选择子宫下段切口进行剖宫产,对两组的手术时间、术中出血量、胎儿情况、子宫恢复情况进行统计分析。结果观察组术中出血量、新生儿窒息情况明显优于对照组,差异有统计学意义(t=14.69,P<0.001;χ2=4.00,P<0.05),对照组手术时间少于观察组,差异有统计学意义(t=3.51,P<0.001)。结论胎盘边缘切口和子宫下段切口进行剖宫产对中央型前置胎盘患者进行分娩均取得较好效果,但是胎盘边缘切口能显著减少术中出血、新生儿窒息,是一种更合理的切口选择。
Objective To analyze the clinical effect of placenta marginal incision in the treatment of central placenta previa with cesarean section. Methods From January 2007 to December 2011, 94 patients with central placenta previa admitted to obstetrics were randomly divided into observation group and control group. In the observation group, placenta marginal incision was selected and in control group, the lower uterine incision was selected for dissection Palace production, the two groups of operation time, intraoperative blood loss, fetal status, uterine recovery were statistically analyzed. Results The intraoperative blood loss and neonatal asphyxia in the observation group were significantly better than those in the control group (t = 14.69, P <0.001; χ2 = 4.00, P <0.05). The operation time of the control group was less than that of the observation group The difference was statistically significant (t = 3.51, P <0.001). Conclusion Cesarean section with placenta marginal incision and inferior uterine incision have good effect on delivery in patients with central placenta previa. However, placenta marginal incision can significantly reduce intraoperative bleeding and neonatal asphyxia, which is a more reasonable incision option .