子宫双切口术式应用于凶险性前置胎盘手术中的临床探析

Clinical Analysis of the Application of Double Uterine Incision in the Operation of Dangerous Placenta Previa

目的探析对凶险性前置胎盘患者实施子宫双切口术式的应用效果。方法选取该院产科2018年1月—2019年8月收治的40例凶险性前置胎盘患者,将其分成对照组和观察组,每组20例。对照组对凶险性前置胎盘手术患者实施常规手术进行治疗,观察组对凶险性前置胎盘手术患者实施子宫双切口术式进行治疗,分析两组子宫切除率、输血量、出血量。结果对照组患者术中出血量(1520.50±15.30)mL高于观察组患者(1050.20±20.30)mL,差异有统计学意义(t=82.740,P<0.001);观察组患者术中输血量(373.00±30.20)mL低于对照组患者(145.00±20.40)mL,差异有统计学意义(t=27.978,P<0.001);观察组患者术中子宫切除率(5.00%)低于对照组患者(30.00%),差异有统计学意义(χ2=4.329,P=0.037)。结论对凶险性前置胎盘患者实施子宫双切口术式的临床效果显著,能够有效地减少术中的出血量,降低患者输血量,降低子宫切除率。

Objective To analyze the application effect of double uterine incision in patients with dangerous placenta previa.Methods We selected 40 patients with dangerous placenta previa admitted to the obstetrics department of the hospital from January 2018 to August 2019,and divided them into a control group and an observation group,with 20 patients in each group.The control group performed routine surgery on patients with dangerous placenta previa surgery,and the observation group performed double uterine incision treatment on patients with dangerous placenta previa surgery.The rates of hysterectomy,blood transfusion,and bleeding volume were analyzed in the two groups.Results The intraoperative blood loss(1520.50±15.30)mL of the control group was higher than that of the observation group(1050.20±20.30)mL,the difference was statistically significant(t=82.740,P<0.001);the intraoperative blood transfusion amount of the observation group was(373.00±30.20)mL lower than the control group(145.00±20.40)mL,the difference was statistically significant(t=27.978,P<0.001);the intraoperative hysterectomy rate(5.00%)of the observation group,lower than the control group(30.00%),the difference was statistically significant(χ2=4.329,P=0.037).Conclusion The clinical effect of double uterine incision for patients with dangerous placenta previa is significant,which can effectively reduce intraoperative blood loss,blood transfusion and hysterectomy rate.