子宫单/双切口在凶险性前置胎盘患者中的应用效果比较

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Abstract Objective To compare the effect of single/double uterine incision in patients with dangerous placenta previa. Methods Clinical data of 120 patients with dangerous placenta previa admitted to the General Hospital of Northern Theater Command from January 2018 to January 2020 were retrospectively analyzed, and they were divided into double incision group (41 cases) and single incision group (79 cases) according to the surgical methods. The single incision group was treated with single incision and the double incision group was treated with double incision. The surgical indicators (operative time, hospitalization recovery time, intraoperative blood loss and hysterectomy rate), the incidence of complications (coagulation dysfunction, bladder injury and postoperative fever) and patient satisfaction were compared between the two groups. Results The operation time and hospitalization recovery time of the double-incision group were longer than those of the single incision group, the intraoperative blood loss was less than that of the single incision group, and the hysterectomy rate was lower than that of the single incision group, the differences were statistically significant (P<0.05). The rate of postoperative coagulation dysfunction in the double incision group was lower than that in the single incision group, and the incidence of postoperative fever was higher, the differences were statistically significant (P<0.05). There was no significant difference in the incidence of postoperative bladder injury between the two groups (P>0.05). The patient satisfaction of the double incision group was 92.68%, higher than that of the single incision group (78.48%), the difference was statistically significant (P<0.05). Conclusion Uterine double incision in cesarean section for patients with dangerous placenta previa can reduce intraoperative blood loss, reduce the hysterectomy rate and the risk of postoperative abnormal blood coagulation, which is beneficial to improve patient satisfaction.

Key words： Dangerous placenta previa Double uterine incision Single uterine incision Safety Hysterectomy rate

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	WANG Lie

Cite this article:

WANG Lie. Comparison of the effect of single/double uterine incision in patients with dangerous placenta previa[J]. 中国当代医药, 2021, 28(21): 128-130转133.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I21/128

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