多学科联合治疗凶险型前置胎盘临床体会

目的 探讨多学科联合治疗凶险型前置胎盘的临床效果。方法 2014年1月至2015年7月12例产前诊断为凶险型前置胎盘患者作为治疗组,术前联合泌尿外科膀胱镜检查、双侧子宫动脉置管,娩出胎儿后立即行动脉栓塞术;2011年10月至2013年12月17例凶险性前置胎盘作为对照组。比较两组的出血量、输血量、子宫切除率及并发症等。结果 治疗组产后平均出血量、输血量、严重并发症及子宫切除例数明显降低,两组差异有统计学意义(P<0.05)。结论 多学科联合治疗凶险性前置胎盘有明显优势,在综合性医院值得推广。

Clinical experience with multidisciplinary combination therapy of pernicious placenta previa

Objective To discuss the clinical effect of multidisciplinary combination therapy of pernicious placenta previa.Methods Twelve cases of pernicious placenta previa from Jan. 2014 to July 2015 with sheath placed before Caesarean operation were defined as the treatment group, in which artery embolism surgeries were performed immediately after fetus parturition, and 17 cases of pernicious placenta previa from Oct. 2011 to Dec.2013 without placing sheath before Caesarean operation were defined as the control. The amount of hemorrhage, blood transfusion, uterus excision rate and complications of the two groups were compared. Results The average of hemorrhage, blood transfusion, uterus excision rate, complications and uterus excision rate of treatment group were significantly lower, and the differences between the two groups had statistical significance.Conclusion Multidisciplinary joint in treatment of pernicious placenta previa has obvious advantages, so it is worth promotion in comprehensive hospitals.