| 凶险性前置胎盘并胎盘植入剖宫产不同术式疗效分析 |
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| 引用本文： | 徐亚辉,武海英,曹广劭,刘侃,闫珺.凶险性前置胎盘并胎盘植入剖宫产不同术式疗效分析[J].中华实用诊断与治疗杂志,2019(6):584-586. |
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| 作者姓名： | 徐亚辉 武海英 曹广劭 刘侃 闫珺 |
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| 作者单位： | 郑州大学人民医院河南省人民医院产科;郑州大学人民医院河南省人民医院综合肿瘤介入科 |
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| 基金项目： | 河南省科技厅普通项目(201702222) |
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| 摘 要： | 目的探讨剖宫产不同术式治疗凶险性前置胎盘(pernicious placenta previa, PPP)并胎盘植入的疗效和安全性。方法 PPP并胎盘植入患者48例,剖宫产术中行子宫下段双切口剖宫产联合子宫血管缝扎术及多重宫颈环状缝扎术者30例为观察组,剖宫产术中行低位腹主动脉球囊阻断术者18例为对照组。观察2组术后住院时间、术中出血量、术中输血量、产褥感染率、新生儿Apgar评分、新生儿体质量、子宫切除率、子宫复旧率等情况。结果 2组均成功保留子宫,术后42 d复查子宫均正常复旧;观察组住院时间(7.51±1.06)d]、产褥感染率(3.3%)低于对照组(8.17±0.93)d、27.8%](P<0.05),术中出血量(1 396.66±635.05)mL]、红细胞、血浆及冷沉淀输入量(5.55±0.92)u、(575.00±63.18)mL、(1.11±0.26)u]、新生儿体质量(3 051.26±212.15)g]、Apgar评分(9.56±0.25)分]与对照组(1 382.16±416.62)mL、(5.42±0.55)u、(569.35±71.07)mL、(1.07±0.18)u、(3 018.06±242.02)g、(9.44±0.32)分]比较差异均无统计学意义(P>0.05)。结论子宫双切口剖宫产联合子宫血管缝扎术及宫颈多重环状缝扎术应用于PPP并胎盘植入患者安全、可行,术后住院时间短、产褥感染率低。
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| 关 键 词： | 凶险性前置胎盘 胎盘植入 子宫双切口 子宫血管缝扎术 宫颈环状缝扎术 腹主动脉球囊阻断术 |
Different cesarean section procedures in patients with pernicious placenta previa complicated with placenta percreta |
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| XU Yahui,WU Haiying,CAO Guangshao,LIU Kan,YAN.Different cesarean section procedures in patients with pernicious placenta previa complicated with placenta percreta[J].Journal of Chinese Practical Diagnosis and Therapy,2019(6):584-586. |
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| Authors: | XU Yahui WU Haiying CAO Guangshao LIU Kan YAN |
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| Institution: | (Department of Obstetrics,Henan Provincial People’s Hospital,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Comprehensive Tumor Interventional Therapy,Henan Provincial People’s Hospital,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China) |
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| Abstract: | XU Yahui;WU Haiying;CAO Guangshao;LIU Kan;YAN Jun(Department of Obstetrics,Henan Provincial People’s Hospital,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Comprehensive Tumor Interventional Therapy,Henan Provincial People’s Hospital,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China) |
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| Keywords: | pernicious placenta previa placenta accreta double incision cesarean section of the uterus uterine vascular suture cervical ring-like suture temporary occlusion of abdominal aorta with balloon |
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