CAJ | 학술논문

目的：探讨胎盘钳夹术在中期妊娠胎盘前置状态引产中使用的临床价值。方法回顾性分析南方医科大学附属小榄医院2008～2013年收治的81例妊娠中期胎盘前置引产患者资料。按是否采取胎盘钳夹术分为A、B两组，A组30例单纯采用口服或羊膜腔注射药物引产，B组51例采用口服或羊膜腔注射药物引产，临产后采取胎盘钳夹术，持续牵引先露部至胎儿经阴道娩出。比较两组产后出血情况、剖宫取胎例数。结果81例患者均在72 h内引产成功，A组中26例经阴道娩出，剖宫取胎4例（13.3％）；B组中50例经阴道娩出，剖宫取胎1例（2.0％），两组比较差异有统计学意义（P＜0.05）。 A组产后出血率（53.3％）高于B组（21.6％）（P＜0.05）。结论使用胎盘钳夹术可以显著减少中期妊娠胎盘前置状态引产中产后出血和剖宫取胎的风险。
목적：탐토태반겸협술재중기임신태반전치상태인산중사용적림상개치。방법회고성분석남방의과대학부속소람의원2008～2013년수치적81례임신중기태반전치인산환자자료。안시부채취태반겸협술분위A、B량조，A조30례단순채용구복혹양막강주사약물인산，B조51례채용구복혹양막강주사약물인산，임산후채취태반겸협술，지속견인선로부지태인경음도면출。비교량조산후출혈정황、부궁취태례수。결과81례환자균재72 h내인산성공，A조중26례경음도면출，부궁취태4례（13.3％）；B조중50례경음도면출，부궁취태1례（2.0％），량조비교차이유통계학의의（P＜0.05）。 A조산후출혈솔（53.3％）고우B조（21.6％）（P＜0.05）。결론사용태반겸협술가이현저감소중기임신태반전치상태인산중산후출혈화부궁취태적풍험。
Objective To explore the clinical efficacy of placenta clamping in induced labor for pregnant women with placenta previa in second trimester .Methods A retrospective analysis was performed for 81 patients with placenta previa who required induced labor in Xiao Lan People Hosiptal Affiliated to Southern Medical University from January 2008 to December 2013.Patients were allocated to group A and group B .Group A ( n=30 ) were treated with oral or injecting drug into amniotic cavity for induced labor , group B( n=51) were treated with placenta clamping after oral or injected drug into amniotic cavity for induced labor , then continuous drawing the fetal presentation until it labored through the vagina .Postpartum hemorrhage and the incidences of cesarean section between two groups were compared .Results All cases finished induced labor within 72 hours.In group A 26 patients were vaginal delivery, 4 cases were received cesarean section , while in group B 50 patients were vaginal delivery , 1 case underwent cesarean section, the difference was statistically significant ( P<0.05 ) .The rate of postpartum hemorrhage in group A ( 53.3%) was higher than group B ( 21.6%) ( P <0.05 ) .Conclusion Placenta clamping in induced labor significantly reduce the risk of postpartum hemorrhage and cesarean section .