Value of Modified Cesarean section in the treatment of placenta previa
改良式剖宫产术在前置胎盘治疗中的价值

摘要

目的 探讨研究在前置胎盘治疗中实施改良式剖宫术对于患者的意义。方法 研究样本选取时间为2020年01月至2021年10月我院妇产科收治的100例前置胎盘患者，依据患者入院编号的奇偶性将其随机均分为对照组与观察组，对照组患者实施常规剖宫产手术治疗，观察组患者则是对其实施改良式剖宫产治疗，观察比较两组患者的手术信息、凝血功能、不良事件。结果 观察组患者的手术时间、术中失血量、止血成功时间、输血量均显著低于对照组，组间差异具有统计学意义（P＜0.05）。在术后12h两组患者的PT、TT、APTT显著升高，Fib显著降低，观察组的改变幅度相对较低，组间差异不具有统计学差异（P＞0.05）。观察组患者的并发症发生率8.00%显著低于对照组患者的24.00%，组间差异具有统计学意义（P＜0.05）。结论 在前置胎盘的治疗分娩中实施改良式剖宫产手术，可以显著降低手术创伤，减少患者的手术时间、术中失血量，降低患者术后并发症的发生率，具有重要临床应用价值。

Abstract

Objective To explore the significance of Modified Cesarean section in the treatment of placenta previa.
Methods 100 patients with placenta previa were selected from January 2020 to October 2021. They were randomly divided into control group and observation group according to the parity of admission number. The patients in the control group were treated with routine cesarean section , the patients in the observation group were treated with Modified Cesarean section. The operation information, coagulation function and adverse events of the two groups were observed and compared.
Results the operation time, intraoperative blood loss, successful hemostasis time and blood transfusion in the observation group were significantly lower than those in the control group, There was significant difference between the two groups (P < 0.05). At 12 hours after operation, Pt, TT and APTT of the two groups increased significantly, FIB decreased significantly, the change range of the observation group was relatively low, and there was no significant difference between the two groups (P > 0.05). The incidence of complications in the observation group was 8.00%, which was significantly lower than 24.00% in the control group
Conclusion   the implementation of Modified Cesarean section in the treatment of placenta previa can significantly reduce the surgical trauma, reduce the operation time and intraoperative blood loss, and reduce the incidence of postoperative complications.