子宫前壁切除及修补术治疗凶险性前置胎盘并胎盘植入

Resection and Repair of Anterior Uterine Wall in the Treatment of 5 Cases of Severe Placenta Previa with Placenta Accreta

目的分析子宫前壁切除及修补术治疗凶险性前置胎盘并胎盘植入的效果及预后。方法选取本院收治的10例凶险性前置胎盘并胎盘植入患者作为研究对象,采用子宫前壁切除术及修补术,观察患者的手术效果。结果患者的子宫愈合良好率均为100%,无死亡病例,但观察组患者的出血量、输血量、住院时间、治疗费用及子宫切除率同对照组比较,差异有统计学意义(P<0.05)。结论子宫前壁切除及修补术治疗凶险性前置胎盘并胎盘植入的疗效明显。

Objective To analyze the effect and prognosis of anterior wall hysterectomy and repair in the treatment of severe placenta previa associated with placenta accreta. Methods ten patients with dangerous placenta previa and placenta accreta treated in our hospital were selected as study subjects. The observation group was treated with anterior uterine resection and repair,and the control group was treated with traditional surgery. The surgical indexes and operative results of the two groups were compared. Results The good rate of uterine healing in both groups was 100%,and no deaths occurred. However,the bleeding volume,blood transfusion volume,length of hospital stay,treatment cost,and hysterectomy rate were statistically significant in the observation group compared with the control group(P<0.05). Conclusion Anterior uterine wall resection and repair of the treatment of dangerous placenta previa and placenta accreta effect is obvious,worthy of clinical application.