剖宫产术中前置胎盘伴胎盘植入手术止血方式的研究进展

Research progress of surgical hemostatic methods for placenta previa with placenta accreta in cesarean section

  • 摘要: 随着前置胎盘伴胎盘植入患者数量增加,不良妊娠结局的发生率升高,严重的产后出血、子宫切除会危及患者的生命。盆腔去血管化和子宫下段-宫颈缝合术为剖宫产术中两大手术止血方式,前者包括血管内介入治疗和止血带捆绑法,后者多种多样,但均处于临床探索阶段。本文基于国内外学者的临床经验,对上述方式进行探讨,以期为临床医生对不同术式的选择提供参考。

     

    Abstract: With the increase of the number of patients with placenta previa and placenta accreta, the incidence of adverse pregnancy outcomes increases, and the severe postpartum hemorrhage and hysterectomy will endanger the patient's life. Pelvic devascularization and lower segment cervical suture are the two major surgical hemostasis methods in cesarean section, the former includes intravascular interventional therapy and tourniquet binding, while the latter includes various ways, but both are in the stage of clinical exploration. Based on the clinical experience of scholars at home and abroad, this paper discusses the above methods in order to provide reference for clinicians to choose different surgical methods.

     

/

返回文章
返回