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目的探讨子宫体低位横切口对前置胎盘患者母儿结局的影响。方法纳入前置胎盘患者100例,随机分为两组,Ⅰ组采用子宫体部低位横切口50例;Ⅱ组采用经典子宫下段横切口50例,记录术中出血量、手术时间、1min新生儿Apgar评分。结果两组患者年龄、产次、孕周等差异无统计学意义(P>0.05)。术中平均出血量:Ⅰ组较Ⅱ组少(425.24ml vs 612.5ml);平均手术时间:Ⅰ组短于Ⅱ组(33.24min vs 40.26min);新生儿1min Apgar评分平均Ⅰ组高于Ⅱ组(9.18分vs 8.52分);两组比较差异均有统计学意义(P<0.05)。结论子宫体部低位横切口剖宫产能降低前置胎盘患者术中出血量,缩短手术时间,有利于母儿结局。
Objective To investigate the effects of low uterine incision on maternal outcome in patients with placenta previa. Methods One hundred patients with placenta previa were randomly divided into two groups. Group Ⅰ used 50 cases of lower transverse incision in the uterus; Group Ⅱ used 50 cases of transverse incision in the lower segment of the uterus to record the intraoperative blood loss, operation time, Apgar score. Results There was no significant difference in age, parity and gestational age between the two groups (P> 0.05). The mean intraoperative bleeding volume was significantly lower in group Ⅰ than in group Ⅱ (425.24 ml vs 612.5 ml). The mean operative time was shorter in group Ⅰ than in group Ⅱ (33.24 min vs. 40.26 min) (9.18 vs 8.52). There was significant difference between the two groups (P <0.05). Conclusion Cesarean section can reduce the blood loss of placenta previa and shorten the operation time in favor of maternal and child outcomes.