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目的探讨不同子宫切口剖宫产术治疗前置胎盘的临床效果。方法选取河南宏力医院2014年4月—2015年4月收治的前置胎盘患者100例,依据治疗措施的不同分为对照组和观察组,各50例。对照组采用子宫下段横切口治疗,观察组采用子宫下段纵切口治疗,比较两组患者术中出血量、术后24h出血量、子宫切口裂伤、子宫切除率及新生儿情况。结果观察组术中出血量、术后24h出血量均低于对照组,差异有统计学意义(P<0.05);子宫切口裂伤率及子宫切除率均低于对照组,差异有统计学意义(P<0.05)。观察组新生儿体质量、1min Apgar评分均高于对照组,差异有统计学意义(P<0.05)。结论子宫下段纵切口剖宫产术治疗前置胎盘疗效显著,能够减少术中出血量及术后24h出血量,降低子宫切口裂伤率及子宫切除率,改善新生儿预后,值得推广使用。
Objective To investigate the clinical effect of different uterine incision cesarean section in the treatment of placenta previa. Methods 100 patients with placenta previa admitted from April 2014 to April 2015 in Henan Grace Hospital were divided into control group and observation group according to the different treatment measures, 50 cases each. The control group was treated with transverse incision in the lower uterine segment. The observation group was treated with the longitudinal incision of lower uterine segment. The blood loss, blood loss, hysterectomy, hysterectomy and neonatal condition were compared between the two groups. Results The intraoperative blood loss and the amount of hemorrhage 24h after operation were both lower than those in the control group (P <0.05). The rates of laceration and hysterectomy in the observation group were lower than those in the control group (P <0.05). Neonatal body weight in observation group, 1min Apgar score were higher than the control group, the difference was statistically significant (P <0.05). Conclusion The lower uterine segment longitudinal incision cesarean section treatment of placenta previa significant effect, can reduce the amount of intraoperative bleeding and bleeding after 24h, reduce the rate of uterine incision laceration and hysterectomy, improve the prognosis of neonates, it is worth promoting the use of.