胎盘边缘切口剖宫产术在前置胎盘伴胎盘植入中的治疗效果观察

Efficacy of placenta margin incision cesarean section in placenta previa with placenta accrete

目的探讨胎盘边缘切口剖宫产在前置胎盘伴胎盘植入中的治疗效果。方法回顾性收集2018年1月至2019年12月粤北人民医院收治的56例前置胎盘伴胎盘植入患者的临床资料,按照不同的剖宫产切口,分为胎盘边缘切口组(研究组)和子宫下段切口组(常规组),比较两组产妇的手术情况、妊娠结局、相关费用。结果与常规组相比,研究组手术时长更短,术中出血量、术后24h出血量、术后发热更少,住院总费用更低,差异均有统计学意义(t/χ^(2)值分别为2.146、2.546、2.369、4.972、2.183,P<0.05);两组在子宫切除、膀胱损伤、术后转ICU、住院时间、新生儿结局方面比较差异均无统计学意义(P>0.05)。结论胎盘边缘切口剖宫产对前置胎盘伴胎盘植入患者具有较好的治疗效果,具有一定的应用价值。

Objective To explore the efficacy of placenta margin incision cesarean section in the treatment of placenta previa with placenta accrete.Methods The clinical data of 56 cases of placenta previa with placenta accrete in Yue Bei people′s hospital from December 2018 to December 2019 were collected retrospectively,those patients were divided into placenta marginal incision group(study group)and lower uterine incision group(routine group)according to different cesarean section incision.Data of the surgical conditions,pregnancy outcome and related cost were compared between the two groups.Results Compared with the routine group,there were shorter surgical time,less intraoperative bleeding,less 24-hour postoperative bleeding,less postoperative fever and lower total hospitalization cost in the study group,and the differences were statistically significant(t/χ^(2)=2.146,2.546,2.369,4.972 and 2.183,respectively,P<0.05).There were no statistical differences between the two groups in hysterectomy,bladder injury,postoperative transfer to intensive care unit,hospitalization and neonatal outcome(P>0.05).Conclusion Placental margin incision cesarean section has definite efficacy on the patients with placenta previa and placenta accrete,which has a certain application value.