摘要
目的:探讨前置胎盘剖宫产术中子宫切除术高危因素、手术时机及并发症。方法:回顾性分析2010年2月至2012年2月在郑州大学第三附属医院产科276例前置胎盘患者临床资料,其中21例行剖宫产术中子宫切除。结果:前置胎盘患者剖宫产术中行子宫切除高危因素包括:孕产次数增加、既往剖宫产史、中央型前置胎盘、胎盘主要附着部位为前壁、胎盘植入、术中出血量过多等。若术中出血多,保守方式无法止血,应考虑行子宫切除术,手术方式建议选择子宫次全切除术。子宫切除术后常见并发症为:失血性休克、DIC、术后感染等。结论:重视前置胎盘发生的高危因素,对于前置胎盘患者,通过完善相关产前检查、选择合适分娩方式、充分做好手术准备,才可能尽量减少前置胎盘患者子宫切除及其术后并发症的发生。
Objective： To investigate the risk factors, surgery timing and complications in pre-placental cesarean section hysterectomy. Methods ： Retrospectively analyzed all the 276 cases of placenta previa hospitalized the Third Affiliated Hospital of Zhengzhou University from February 2010 to February 2012 of which ：21 cases underwent hysterectomy. Results ： The risk factors of hysterectomy in placenta previa patients including the increasing number of pregnancy and production, the previous history of cesarean section, complete placenta previa, placenta attached to the anterior wall of uterus, placenta accreta and heavy bleeding in surgery. Massive bleeding during the surgery that could not stop by conservative way, the patient should be considered to have a hysterectomy, the surgical approach was recommended to subtotal hysterectomy. The common complications are hemorrhagic shock, DIC and postoperative infection. Conclusion： It is important to pay attention to the risk factors for placenta previa, It may probably minimize the occurrence of hysterectomy and its complications in placenta previa through improving the relevant prenatal examinations, appropriately selecting of delivery, and combined with well preparation before surgery.
出处
《河南医学研究》
CAS
2013年第1期8-10,共3页
Henan Medical Research
关键词
子宫切除
前置胎盘
剖宫产术
hysterectomy
placenta previa
cesarean section
