介入治疗用于凶险性前置胎盘的可行性研究

Feasibility Study on Interventional Therapy for Dangerous Placenta Previa

目的探讨介入治疗用于凶险性前置胎盘的可行性。方法将120例凶险性前置胎盘患者作为对象,依据处理方法分为对照组、介入治疗组两组,各有60例。对照组采用宫腔填塞纱条、改良B-lynch缝合术和子宫动脉上行支结扎等非介入方法治疗,介入治疗组则给予介入治疗。比较两组产褥感染发生率、子宫切除率、新生儿窒息发生率等。结果介入治疗组产褥感染发生率、子宫切除率、DIC发生率低于对照组,剖宫产手术时间短,于24小时出血量、术中出血量少于对照组,平均住院时间短于对照组,P<0.05;两组新生儿窒息发生率比较,P>0.05。结论介入治疗用于凶险性前置胎盘的可行性高。

Objective To investigate the feasibility of interventional therapy for preclinical placenta. Methods 120 patients with risk of placenta previa were divided into control group and intervention group（60 cases）. The control group was treated with intrauterine filling gauze, modified B-lynch suture and uterine artery branch ligation and other non-interventional treatment, interventional treatment group was given interventional therapy. The incidence of puerperal infection, the rate of hysterectomy and the incidence of neonatal asphyxia were compared between the two groups. Results The incidence of puerperal infection, hysterectomy and DIC were lower in the intervention group than in the control group. The time of cesarean section was short, the amount of bleeding was less than 24 hours, and the average hospitalization time was shorter than that of the control group, P 0.05; The incidence of neonatal asphyxia in both groups, P 0.05. Conclusion The feasibility of interventional therapy for the preclinicalplacenta is high.