多学科协作诊疗模式救治产科凶险性前置胎盘14例分析

An analysis of 14 cases of obstetric pernicious placenta previa treated by multidisciplinary collaborative diagnosis and treatment mode

目的探讨多学科诊疗模式在救治产科凶险性前置胎盘的应用效果。方法通过由产科、影像科、泌尿外科、手术室、麻醉科、介入科、输血科、重症医学科、新生儿科等组建的多学科协作团队,对14例凶险性前置胎盘患者进行救治的情况进行回顾分析。结果14例患者均手术顺利,无一例死亡,无严重并发症,子宫保留率为71.42%。结论多学科协作诊疗模式给凶险性前置胎盘患者提供全面的医疗保障,是手术救治成功的关键,对新形势下指导产科危重症的诊治具有重要意义。

Objective To explore the application effect of multidisciplinary diagnosis and treatment mode in the treatment of obstetric pernicious placenta previa.Methods A retrospective analysis was made on the treatment and cure of 14 patients with pernicious placenta previa by a multidisciplinary collaborative team composed of the department of obstetrics,the department of sonography,the department of urology,operating room,the department of anesthesiology,the interventional department,the department of blood transfusion,the intensive care unit and the department of neonatology,etc.Results All the 14 patients underwent operations smoothly,with no death and no serious complications.The uterine retention rate was 71.42%.Conclusion Multidisciplinary collaborative diagnosis and treatment mode provides a comprehensive medical guarantee for the patients with pernicious placenta previa.It is the key to successful surgical treatment and cure,and it is of great significance for guiding the diagnosis and treatment of critical obstetric diseases under the new situation.