河北医科大学学报

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海扶参与治疗凶险性前置胎盘伴胎盘植入的多学科管理

  

  1. 河北医科大学第二医院产科,河北 石家庄 050000
  • 出版日期:2016-10-25 发布日期:2016-11-04
  • 作者简介:于万芹( 1966- ),女,河北泊头人,河北医科大学第 二医院主管护师,医学学士,从事临床护理学研究。
  • 基金资助:
    河北省医学科学研究重点课题( 20150250

Multidisciplinary management of treatment of dangerous placenta previa with placenta increta participated by HIFU#br#

  1. Department of Obstetrics, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
  • Online:2016-10-25 Published:2016-11-04

摘要: [摘要] 目的 探讨海扶治疗妊娠期胎盘植入的多学科管理的可行性。方法 选择因严重胎儿畸形行中期引
产的凶险性前置胎盘伴胎盘植入患者 40 例,将其分为无多学科团队参与管理组( A 组) 28 例和海扶参与治疗的多
学科团队参与管理组( B 组)
12 例,比较 2 组患者治疗情况。结果 B 组出血量、输血量、平均住院费用少于 A 组,子
宫动脉结扎发生率低于 A 组,差异均有统计学意义( P <0.05 ); B 组子宫切除、入住 ICU 、病死率与 A 组差异均无
统计学意义( P >0.0

关键词: 前置胎盘, 侵入性胎盘, 导管消融术

Abstract: [ Abstract ] Objective To discussthefeasibility of multidisciplinary management of
treatmentofdangerousplacentapreviawithplacentaincretaparticipatedby HIFU.Methods
Fortypatientsofdangeroursplacentaprevia with placentaincretacaused byterriblefetal
malformation metaphase wereselected.Thosepatients weredividedintotwogroups : non-
multidisciplinarygroup ( group A , 28patients ) and multidisciplinarycare with HIFU group
(
groupB , 12patients ) .Thenthetreatmentresultswerecompared.Results Thebloodloss
,
volumeofbloodtransfusion , averagehospitalizationexpenses , uterinearteryligationratioin
groupBwerelowerthanthatingroupA.Thediffferencwasstatisticallysignificant ( P <0.05 ) .
Hysterectomies , ICU treatmentsand mortality werenotstatiscallysignificantbetweentwo
groups ( P >0.05 ) .Conclusion MultidisciplinarycarewithHIFUcanimprovematernaloutcomes
ofplacentaincretaduringpergnancy , whichismoresafeandfeasible.

Key words: placentaprevia , placentaaccreta , catheterablation