凶险性前置胎盘合并胎盘植入行编织状缝合术的效果观察

Effect Observation of braided suture technique on the Dangerous Type of Placenta Previa Complicated with Placenta Accrete

目的 研究凶险性前置胎盘合并胎盘植入行编织状缝合术的效果。方法 选取2017年3月至2019年6月于本院妇产科收治的80例凶险性前置胎盘合并植入产妇,根据手术方式分为常规组(常规止血缝合术)36例与观察组(编织状缝合术)44例,比较两组的手术时间、住院时间、术中出血量、术后3h出血量、产妇手术前后的甲胎蛋白水平、月经复潮时间和阿普加新生儿评分(Apgar)以及子宫切除率。结果 观察组手术时间、住院时间短于常规组,术后3h出血量少于常规组(P<0.05);观察组患妇术后甲胎蛋白水平低于常规组(P<0.05);观察组子宫切除率低于常规组(P<0.05)。结论 凶险性前置胎盘合并植入患者剖宫产应用编织状缝合技术,有效缩短手术、住院时间,快速实现术后止血,调节甲胎蛋白水平,降低子宫切除率,子宫恢复状况良好。

Objective To study the effect of braided suture technique on the dangerous type of placenta previa complicated with placenta accrete.Methods A total of 80 puerperae with dangerous placenta previa combined with placental implant admitted to obstetrics and gynecology department of the hospital from March 2017 to June 2019 were enrolled, and according to different surgical methods, they were divided into routine group(routine hemostatic suture, 36 cases)and observation group(braided suture, 44 cases).The operation time, hospitalization time, intraoperative blood loss, blood loss at 3 h after surgery, level of alpha-fetoprotein, menstrual recovery time, neonatal Apgar score and hysterectomy rate before and after surgery between the two groups were compared.Results The operation time and hospitalization time in observation group were shorter than those in routine group, and blood loss at 3 h after surgery was less than that in routine group(P<0.05).After surgery, level of alpha-fetoprotein in observation group was lower than that in routine group(P<0.05),and hysterectomy rate was lower than that in routine group(P<0.05).Conclusion Application of braided suture technique in the cesarean section for patients with dangerous placenta previa combined with placental implant can effectively shorten operation and hospitalization time, quickly achieve postoperative hemostasis, adjust level of alpha-fetoprotein, and reduce hysterectomy rate, with good uterine recovery.