宫颈多重缝扎术在凶险性前置胎盘中的应用及其对卵巢功能的影响

目的 观察宫颈多重缝扎术在凶险性前置胎盘中的应用及其对卵巢功能的影响。方法 回顾性分析2008年1月~2015年12月期间笔者医院产科凶险性前置胎盘患者107例，其中41例予以宫颈多重缝扎术，66例行宫腔填塞纱条术。观察两组的临床效果，并对患者月经情况及卵巢功能进行随访。结果 观察组术中术后出血量、输血量、手术时间、子宫切除率、患者转ICU率、止血时间、产后24h出血量、术后发热率、恶露持续时间与对照组比较，差异有统计学意义（P均<0.05）；观察组产后42天子宫复旧率、术后月经恢复时间、产后月经周期、第1次月经量、恢复正常月经所需次数、卵巢功能检查（FSH、LH、E₂）比较，差异无统计学意义（P>0.05）。结论 宫颈多重缝扎术应用于凶险性前置胎盘剖宫产术中止血效果好，减少手术并发症的同时能提高患者恢复效率，保留患者生育功能而不影响卵巢功能，值得临床推广应用。

Efficacy and Influence of Ovarian Function after Multiple Cervical Suture for Pernicious Placenta Previa

Objective To investigate the efficacy and influence of ovarian function after multiple cervical suture for pernicious placenta previa. Methods A reteospective analysis was performed in 107 patients who underwent ineffective conservative treatment for PPP,indcluding 41 patients who underwent multiple cervical suture and 66 pantiets who underwent uterine packing.The clinical effects of the two groups were observed. The menstrual status and ovarian function were followed up. Results The significant difference of amount of blood loss during operation,transfusion volume,0peration time,hysterectomy rate,ICU stay days,hemostatic time and 24-hour postoperative vaginal bleeding amount,postoperative fever, continuance times of lochia was comporred (P<0.05).There were no significant differences in uterine insrauration rate,menstruation recovery and basic sex hormone levels between the two groups(P>0.05). Conclusion Multiple cervical suture for patients with pernicious placenta previa was effective,and worthy of clinical promotion and application.