中国妇幼健康研究Issue(3)：615-616,617,3.DOI:10.3969/j.issn.1673-5293.2015.03.077
完全性前置胎盘合并胎盘植入的临床治疗选择
Clinical therapy of complete placenta previa complicated with placenta implantation
张霞 1陈艳洁 1穆雪燕1
作者信息
- 1. 舟山市妇幼保健院妇产科，浙江 舟山316000
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of cesarean section combined with uterine artery embolization on treatment of complete placenta previa complicated with placenta implantation. Methods During January 2010 to December 2014, 80 cases of complete placenta previa complicated with placenta implantation, who were admitted in Maternal and Child Health Hospital of Zhoushan City, were divided into control group and observation group with 40 patients in each group according to treatment. The control group was treated with traditional cesarean section, and the observation group was treated with cesarean section combined with uterine artery embolization. Postpartum hemorrhage amount, clinical indicators and neonatal outcomes were compared between two groups. Results Postpartum hemorrhage amount of the observation group was significantly less than the control group (620 ± 120mL vs 2 920 ± 730mL) ( t=19. 663, P<0. 01). The uterus excision rate and intensive care unit (ICU) transferring rate of the observation group were significantly lower than the control group (32. 5%, 22. 5%) (χ2 value was 15. 225 and 10. 141, respectively, both P<0. 05). The neonatal intensive care unit (NICU) transferring rate of the observation group (5. 0%) was significantly lower than the control group (35. 0%) (t=11. 251,P<0. 05). Conclusion Cesarean section combined with uterine artery embolization can significantly reduce bleeding amount of the patients with complete placenta previa complicated with placenta implantation and reduce the risk of hysterectomy, so it is worthy of clinical popularization and application.关键词
剖宫产/子宫动脉栓塞术/完全性前置胎盘/胎盘植入Key words
cesarean section/uterine artery embolization/complete placenta previa/placenta implantation分类
医药卫生引用本文复制引用
张霞,陈艳洁,穆雪燕..完全性前置胎盘合并胎盘植入的临床治疗选择[J].中国妇幼健康研究,2015,(3):615-616,617,3.
