止血带配合宫颈缝合术治疗完全性前置胎盘的临床观察

• 作 者: 陈建华 郭文玲 陈雪梅
• 机 构: 山东省滨州市中心医院-结防院,
• 出 处: 现代妇产科进展
• 发表日期: 2011年06期
• 关键词: 完全性前置胎盘 宫颈缝合术 剖宫产术 止血带 宫颈缝合 妊娠晚期 产科急症 宫颈 子宫 临床处理

前置胎盘是妊娠晚期的严重并发症,也是妊娠晚期阴道流血最常见的原因,其发病率国外报道为0.5%,国内报道为0.24%~1.5%[1]。由于超声影像学的发展,目前对前置胎盘的诊断及处理比较明确,剖宫产是临床处理前置胎盘的唯一手段。剖宫产时胎盘剥离面收缩差,血窦不易关闭,出血较凶猛,有时无法控制,是产科急症切除子宫的主要指征。

The placenta previa is a serious complication in the third trimester of pregnancy. It is also the most common cause of vaginal bleeding in late pregnancy. The incidence is 0.5% in foreign countries and 0.24% -1.5% in China [1]. Due to the development of ultrasound imaging, the diagnosis and treatment of placenta previa is relatively clear. Cesarean section is the only means of clinical treatment of placenta previa. Cesarean placental ablation surface contraction poor sinus bleeding is not easy to close, bleeding more fierce, sometimes uncontrollable, is the main indications for obstetric emergency removal of the uterus.