单个中心的剖腹产子宫切除术治疗无蒂胎盘:19 例系列病例

Presannakumari Bhanumathy, Divya Mecheril Balachandran, Nirpin Cleetus, Jesna Hassan, Skariah Pappachan, Libu G.K
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引用次数: 0

摘要

本研究的目的是评估作者采用剖腹产子宫切除术治疗胎盘早剥谱系障碍相关的产科并发症、失血量、输血需求以及母体和胎儿的预后。数据来自印度喀拉拉邦阿杜尔市生命线多专科医院(Lifeline Multispeciality Hospital)2013年8月至2023年8月期间所有接受剖腹产子宫切除术女性的病例记录。共有 19 例剖腹产子宫切除术。平均年龄为(33.63±2.90)岁。手术中平均失血量为 1.11±0.16 升,平均输注红细胞为 2.00±0.38 单位。终止妊娠的平均胎龄为 33 周零 5 天,平均出生体重为 2.28±0.21 公斤。没有产妇或新生儿死亡。胎盘早剥应由一名经验丰富的资深产科医生参与,在多学科协作下进行处理。在进行子宫切除术之前,尽早、仔细地剥离膀胱有助于减少出血,并加快子宫切除术的进程。
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Caesarean Hysterectomy for Placenta Accreta Spectrum in a Single Centre: A Series of 19 Cases
The objective of this study is to assess obstetric complications, blood loss, blood transfusion requirement, and maternal and fetal outcomes associated with the authors’ approach of Caesarean hysterectomy for placenta accreta spectrum disorders. Data were collected from case records of all females who underwent Caesarean hysterectomy between August 2013–August 2023 at Lifeline Multispeciality Hospital, Adoor, Kerala, India. There were 19 cases of Caesarean hysterectomy. The mean age was 33.63±2.90 years. Mean blood loss during surgery was 1.11±0.16 L, and the mean packed red blood cells transfused was 2.00±0.38 units. The mean gestational age of termination was 33 weeks and 5 days, and mean birth weight was 2.28±0.21 kg. There were no maternal or neonatal deaths. Placenta accreta spectrum should be managed in a multidisciplinary setup with the involvement of a senior experienced obstetrician. Early, careful bladder dissection before proceeding with hysterectomy will help in reducing haemorrhage, and in accelerating hysterectomy.
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