摘要
目的：探讨阿氏切口（随机胎盘边缘切口）在手术治疗中央性前置胎盘（Complete Placenta Previa CPP）中的临床应用效果。方法：选择2004年6月-2007年6月间的CPP患者92例，其中59例采用阿氏切口的手术方法（新法组）行剖宫产术，33例采用非阿氏切口手术（旧法组），45例非CPP原因行剖宫产者（普通组）进行比较，观察手术中的出血量、术中输血量、手术时间、术后病率等。结果：采用阿氏切口的CPP患者手术时的出血量为（351±152）ml，没有因为手术的原因输血。CPP患者非阿氏切口手术的病人术时出血量为（465±284）ml，术中输血者9例，与用阿氏切口组相比，输血人数和输血量有显著的统计学差异（P〈0．001）。非CPP患者的术时出血量为（285±142）ml，与旧法组相比有统计学差异（P〈0．05）。CPP患者非阿氏切口手术的病人手术时间（70±25）min明显长于另外两组（45±14）min和（49±17）min（P〈0．05）。结论：阿氏切口可以有效地减少CPP患者术时的出血，在术前可以有目的设计好切口，术中不会伤及胎盘和脐带，不因手术而输血，不延长手术时间，术后恢复良好，可以有效提高CPP手术的预见性及可支配性。
Objective： To study the clinic effect of Ar＇s incision or random placenta margin incision in treatment of complete placeta previa （CCP）. Methods： 92 patients of CPP from 2004 to 2007 year were selected and 52 among 92 were used by Ar＇s incision （ new method group） and 33 were used by non - Ar＇s incision （ old method group） and 45 of non - CCP were used by lower segment serarean section （ commen method group）. The quantity of bleeding and transfusion blood and the time of operation and the postop - mobidity were compared respectively. Results： The quanity of bleeding using Ar＇s incision about CCP was （351 ± 152） ml and the patient using non -Ar＇s incision about CCP was （465 ±284） ml （P 〈0. 01 ） and 9 patients were transfusion blood. The quanity of bleeding of patient of non - CPP was （285 ± 142） ml （P 〈0. 05）. The time （70 ±25） min of operation of using Ar＇s incision was longer than that of other group [ （45± 14） min and （49 ± 17） mini （P 〈0. 05）. Conclusion： Bleeding amount of using Ar＇s incision for CCP is very effectively reduced during operation and the incision was projected befor operation and no transfusion blood and no prolonging the time of operation and well resuming. The foreseeing and dominating of operation of CPP is effectively improved by Ar＇s incision.
出处
《中国妇幼保健》
CAS
北大核心
2008年第29期4203-4205,共3页
Maternal and Child Health Care of China
基金
佛山市科技局基金项目(2007-58)
关键词
阿氏切口
剖宫产
治疗
中央性前置胎盘
Ar＇s incision
Cesarean section
Treatment
Complete placenta
Previa
