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目的:分析子宫动脉栓塞在凶险型前置胎盘剖宫产术中的应用效果。方法:选择2010年2月~2013年10月在唐山市妇幼保健院行凶险型前置胎盘剖宫产术产妇46例,采用子宫动脉栓塞治疗后再行剖宫产术16例产妇为观察组,未开展子宫动脉栓塞治疗前直接做剖宫产术30例产妇为对照组,观察两组产妇剖宫产术的效果。结果:观察组产妇术中出血量明显少于对照组产妇,差异有统计学意义(P<0.05);产后观察组出血2例、对照组出血10例,观察组子宫切除1例、对照组12例,两组差异均有统计学意义(P<0.05)。结论:采用子宫动脉栓塞的剖宫产术产妇术中、术后出血及子宫切除率明显降低,确保了孕产妇的生命安全。
Objective: To analyze the effect of uterine artery embolization in cesarean section of dangerous placenta previa. Methods: From February 2010 to October 2013, 46 cases of maternal cesarean section in maternal and child health hospital of Tangshan city were suspected to have cesarean section, and 16 maternal women who underwent caesarean section after uterine artery embolization were selected as observation group , Did not carry out uterine artery embolization directly before the cesarean section to do 30 cases of maternal control group to observe the effect of two groups of maternal cesarean section. Results: The bleeding in observation group was significantly less than that in control group (P <0.05). There were 2 cases in postpartum observation group, 10 cases in control group, 1 case in observation group and 1 case in control group Cases, the difference between the two groups were statistically significant (P <0.05). Conclusion: Cesarean section with uterine arterial embolism during operation, postoperative bleeding and hysterectomy rate was significantly reduced to ensure the safety of pregnant women.