论文部分内容阅读
目的观察34例前置胎盘剖宫产术的临床疗效。方法将2010年9月-2013年5月妇产科收治的前置胎盘产妇34例作为研究对象,其中,前置胎盘中央型产妇12例,部分型产妇6例,边缘型产妇16例。比较3种产妇类型手术过程中、手术后的出血量及术后恢复情况。结果胎盘前置中央型产妇的手术出血量和住院时间优于部分型和边缘型产妇,差异有统计学意义(P<0.05),而部分型和边缘型产妇出血量和住院时间差异无统计学意义(P>0.05);手术过程中出血量>500ml组胎儿窒息高于出血量<500ml组,差异有统计学意义(P<0.05)。而胎儿死亡、DIC发生率高于<500ml组,差异无统计学意义(P>0.05)。结论产妇手术前期进行认真检查、积极处理出血现象、有效治疗等,不但能提高胎儿存活率,还能降低出血量,减少并发症的发生。
Objective To observe the clinical efficacy of 34 cases of placenta previa cesarean section. Methods From September 2010 to May 2013, 34 cases of placenta previa were treated by obstetrics and gynecology. Among them, there were 12 cases of central placenta previa, 6 partial ones and 16 marginal ones. During the operation of the three kinds of maternal types, the amount of postoperative bleeding and postoperative recovery were compared. Results The preoperative placenta previa center type maternal blood loss and hospital stay were better than those of partial and marginal maternal groups (P <0.05), but there was no significant difference between partial and peripheral maternal bleeding and hospital stay Significance (P> 0.05). The amount of bleeding> 500ml during operation was higher than that of bleeding <500ml. The difference was statistically significant (P <0.05). The fetal death, DIC incidence was higher than <500ml group, the difference was not statistically significant (P> 0.05). Conclusion The maternal preoperative careful examination, active treatment of bleeding, effective treatment, not only can improve fetal survival rate, but also reduce the amount of bleeding and reduce the incidence of complications.