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1. 陆军军医大学第三附属医院妇产科,重庆,400010
2. 重庆市北碚区合美家医院妇产科,重庆,400700
纸质出版日期:2019,
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陈雪冰, 江娟, 郭建新. 改良B-lynch缝合术在凶险性前置胎盘治疗中的应用及对卵巢功能的影响[J]. 局解手术学杂志, 2019,(4):292.
CHEN Xue-bing, JIANG Juan, GUO Jian-xin. Effect of modified B-lynch suture in treatment of perilous placenta previa and its effect on ovarian function[J]. null, 2019,(4):292.
目的 探究改良B-lynch缝合术应用于凶险性前置胎盘的治疗效果及对卵巢功能的影响。 方法 选取陆军军医大学第三附属医院2010年12月至2017年12月收治的240例凶险性前置胎盘患者,按手术方法的不同分为对照组和观察组
每组120例。对照组患者采用常规治疗,观察组患者采用改良B-lynch缝合术治疗,观察对比2组患者手术结果、胎盘植入、子宫切除以及新生儿窒息情况、治疗有效率以及卵巢功能。 结果 观察组患者治疗有效率显著高于对照组,2组比较差异有统计学意义(P<0.05);观察组患者住院时间、手术时间、术中出血量、术后出血量低于对照组,2组比较差异有统计学意义(P<0.05);观察组患者胎盘植入、新生儿窒息以及子宫切除发生情况与对照组比较,差异无统计学意义(P>0.05);治疗前2组患者AMH、E2、LH及FSH水平差异无统计学意义(P>0.05),治疗后观察组患者AMH、E2、LH及FSH水平明显低于对照组患者,差异有统计学意义(P<0.05)。 结论 采用改良B-lynch缝合术治疗凶险性前置胎盘的治疗效果更佳,显著减少患者阴道出血量,能够明显改善患者卵巢功能,缩短患者恢复时间。
Objective To explore the effect of modified Blynch suture in the treatment of perilous placenta previa and its effect on ovarian function. Methods A total of 240 patients with dangerous placenta previa who were admitted to third affiliated hospital of the army medical university from December 2010 to December 2017 were selected and divided into the control group and the observation group according to different surgical methods
with 120 cases in each group.The patients in the control group were treated with conventional therapy
while those in the observation group were treated with modified Blynch suture.The surgical results
placenta implantation
hysterectomy and neonatal asphyxia
treatment efficiency and ovarian function of the two groups were observed and compared. Results The effective rate of the observation group was significantly higher than that of the control group(P<0.05).Length of hospital stay
operation time
intraoperative bleeding volume
postoperative bleeding volume in the observation group was lower than those of the control group (P<0.05).There was no significant difference in placenta accreta
neonatal asphyxia and the incidence of hysterectomy between the two groups(P>0.05).There was no significant difference in AMH
E2
LH and FSH levels between the two groups before treatment(P>0.05)
but after treatment
these levels in the observation group were significantly lower compared with those of the control group (P<0.05). Conclusion The modified Blynch suture is more effective in the treatment of perilous placenta previa.It can significantly reduce the amount of vaginal bleeding
improve the ovarian function and shorten the recovery time of patients.
改良B-lynch缝合术凶险性前置胎盘治疗效果卵巢功能手术时间子宫切除术
modified Blynch sutureperilous placenta previatherapeutic effectovarian functionoperation timehysterectomy
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