论文部分内容阅读
目的探讨双侧髂内动脉结扎术应用于凶险性前置胎盘剖宫产术中止血的有效性及实用性。方法在剖宫产术中,在胎盘娩出后对35例凶险性前置胎盘产妇行双侧髂内动脉结扎术,监测术后出血情况,并随诊至产后42 d,以评价双侧髂内动脉结扎术止血的实用性及可推广性。结果 35例产妇结扎后出血量平均为(80±10.0)ml,术后4d恢复良好出院,随访至产后42 d,35例产妇均子宫复旧良好,均未发生晚期产后出血和感染。结论在剖宫产术中对凶险性前置胎盘的产妇行双侧髂内动脉结扎术,具有保留女性生育能力、止血迅速有效、操作简单、不需要特殊仪器设备、对产妇术后恢复无不良影响等优点,值得在临床前置胎盘孕妇剖宫产中广泛推广。
Objective To investigate the effectiveness and practicability of bilateral internal iliac artery ligation for hemostasis in causative placenta previa. Methods In the cesarean section, 35 cases of dangerous placenta previa were performed bilateral iliac artery ligation after the delivery of the placenta, and postoperative bleeding was monitored. The patients were followed up for 42 days to evaluate the effect of bilateral internal iliac Artery ligation to stop bleeding and its practicability. Results The average amount of bleeding in 35 maternal postpartum patients was (80 ± 10.0) ml. The patients were discharged well 4 days postoperatively and were followed up to 42 days postpartum. All 35 maternal women had good uterine involution, and no postpartum hemorrhage and infection occurred. Conclusions In the cesarean section in the risk of placenta previa bilateral iliac artery ligation, with female reproductive capacity to retain, stop bleeding quickly and effectively, simple operation, does not require special equipment, maternal postoperative recovery without adverse Impact and other advantages, it is worth in the preclinical placenta pregnant women in widespread promotion of cesarean section.