简介：　　【摘 要】：目的：探索瘢痕性子宫合并前置胎盘在临床上的特点，以及对母婴的结局影响。方法：选择在本院产科 2016年 6月到 2018年 6月间医治的 23位瘢痕性的子宫合并前置胎盘的产妇作为观察组，将首次进行剖宫产的前置胎盘孕妇 23位作为对照组。收集两个组孕妇的资料进行观察和研究。两组产妇均接受剖宫产医治。对两个组孕妇在产后的出血的情况、妊娠的结果以及围生儿情况进行探索与比对。结果：两个组的孕妇在剖宫产之后，无痛阴道出血、第一次阴道出血、孕周在生产之前阴道的出血量进行比较，差异均没有统计学上的意义。观察组手术的时间，生产之后出血的量均高于对照的一组。观察组在手术中进行输血、胎盘的植入、胎盘在附着面的缝扎止血、子动脉的栓塞、背包缝合、子宫的切除比率均高于对照的一组。观察组胎儿出现窘迫、早产、新生儿的窒息的比率高于对照组。两个组围生儿的死亡比率比较，差异没有统计学的意义。结论：瘢痕性的子宫合并前置的胎盘在临床上的表现主要为无痛性阴道的出血、瘢痕性子宫合并前置胎盘，手术时间相对比较长，产后出血量多，术中的止血难度增加，而且围生儿的结局较差。  　　【关键词】：瘢痕子宫 ;前置胎盘 ;临床特点 ;母婴结局  [Abstract]: Objective: To explore the clinical characteristics of cicatricial uterus with placenta previa and its effect on the outcome of mother and infant. Methods: 23 pregnant women with cicatricial uterus and placenta previa treated in our obstetrics department from June 2016 to June 2018 were selected as the observation group, and 23 pregnant women with placenta previa who had first cesarean section were selected as the control group. Data of pregnant women in two groups were collected for observation and study. Both groups received cesarean section. To explore and compare the two groups of pregnant women's postpartum hemorrhage, pregnancy results and perinatal conditions. Results: there was no significant difference between the two groups in the amount of painless vaginal bleeding, first vaginal bleeding and vaginal bleeding before delivery. The time of operation and the amount of bleeding in the observation group were higher than those in the control group. In the observation group, blood transfusion, placenta implantation, placenta ligation on the attachment surface, subarterial embolization, backpack suture and hysterectomy were all higher than those in the control group. The rate of fetal distress, premature delivery and neonatal asphyxia in the observation group was higher than that in the control group. There was no significant difference between the two groups. Conclusion: the clinical manifestations of cicatricial uterus with placenta previa are mainly painless vaginal bleeding, cicatricial uterus with placenta previa. The operation time is relatively long, the amount of postpartum hemorrhage is more, the difficulty of hemostasis is increased, and the perinatal outcome is poor.

简介：【摘要】目的 观察甲氨蝶呤囊内注射联合米非司酮治疗疤痕妊娠的效果。方法 本次试验研究对象是我院2018年1月至2020年12月收治的70例疤痕妊娠患者，按照随机单盲法分组，每组35例，对照组为非司酮治疗，观察组联合甲氨蝶呤治疗，分析效果。结果 观察组治疗有效率较对照组高，血HCG恢复正常时间、月经恢复正常时间较对照组短，包块大小较对照组小，清宫出血量较对照组少，差异显著（P

简介：　　【摘 要】目的：分析腹腔镜治疗卵巢囊肿的临床效果，并探讨其不良反应率和安全性。方法：将 2018年 1月～ 2019年 1月期间本院接收的 62例卵巢囊肿患者作为研究对象，根据单盲分组法将其分成两个组别（对照组和治疗组），对照组以开腹卵巢囊肿剥除术对患者施以治疗，治疗组以腹腔镜方式对患者施以卵巢囊肿剥除术，观察并对比两组患者治疗后的临床效果与不良反应发生率。结果：通过对两种患者施以不同手术方式，可知治疗组患者在术中出血量、手术用时以及术后肛门排气时间方面的数据，与对照组相比较更具优势，差异明显 ;同时，研究组患者术后不良反应发生率（ 3.2%）明显低于参照组患者不（ 19.4%），差异明显，具有统计学意义（ P<0.05）。结论：在治疗卵巢囊肿患者时，应用腹腔镜下卵巢囊肿剥除术的临床治疗效果更为显著，安全性更高，值得研究推广。  　　【关键词】腹腔镜 ;开腹 ;卵巢囊肿  [Abstract] Objective: to analyze the clinical effect of laparoscopic treatment of ovarian cyst, and to explore its adverse reaction rate and safety. Methods: 62 patients with ovarian cysts received by our hospital from January 2018 to January 2019 were divided into two groups (control group and treatment group) according to the single blind grouping method. The patients in the control group were treated with open ovarian cystectomy, and the patients in the treatment group were treated with laparoscopy. The clinical effects of the two groups were observed and compared Bed effect and incidence of adverse reactions. Results: the data of bleeding volume, operation time and anal exhaust time in the treatment group were better than those in the control group through different operation methods. At the same time, the incidence of adverse reactions in the study group (3.2%) was significantly lower than that in the reference group (19.4%), and the difference was statistically significant （ P<0.05）。 Conclusion: in the treatment of ovarian cyst patients, the clinical effect of laparoscopic ovarian cyst removal is more significant, the safety is higher, it is worthy of research and promotion.

简介：【摘要】目的 探究凶险型前置胎盘患者进行腹主动脉球囊预置对术中出血量的影响。方法 将68名进入我院就诊的凶险型前置胎盘患者作为此次研究对象，入院时间均在2019年10月-2020年10月，根据奇偶数列法平均分组，研究组进行腹主动脉球囊预置，对照组未进行，比较两组术中出血量。结果 研究组患者比对照组术中出血量少、手术时间和住院时间短、转ICU率低（分别为5.88%和26.47%），差异有统计学意义（P0.05）。结论 凶险型前置胎盘患者进行腹主动脉球囊预置，有助于减少出血量，提高剖宫产手术安全性，有推广应用价值。

简介：　　【摘要】目的：研究分析宫腔镜子宫内膜息肉切除术联合刮宫术治疗子宫内膜息肉的临床效果。方法：此次研究的对象是选取2018年1月至2020年1月该院50例子宫内膜息肉患者，将其临床资料进行回顾性分析，并将所有患者随机平均分为两组，即实验组和对照组，每组均有患者25例，其中对照组采用常规电切除手术方法进行治疗；实验组则在常规电切除手术基础上配合刮宫方法进行治疗，分析比较两组患者术后的临床疗效以及住院时间、手术情况等。结果：对比分析两组患者总有效率，实验组总有效率明显优于对照组（P0.05）。结论：宫腔镜子宫内膜息肉切除术联合刮宫术治疗子宫内膜息肉应用效果良好，值得临床推广采用。 

简介：【摘要】目的 观察水囊压迫结合欣母沛在产后出血治疗中的应用效果及其对血流动力学指标的影响。方法 随机选取本院68例产后出血患者，时间选自2019年2月-2020年5月，随机分组，每组34例；对照组实施水囊压迫治疗，观察组结合水囊压迫与欣母沛治疗，比较治疗效果。结果 治疗后2h出血量方面，观察组比对照组少，差异明显（P0.05）；观察组DBP和SBP水平比对照组低，而HR比对照组高，差异显著（P

简介：【摘要】 目的 分析腹腔镜可逆性子宫动脉阻断联合宫腔镜下吸宫术治疗瘢痕妊娠的效果。方法 于2019年11月-2020年10月开展研究，70例瘢痕妊娠患者均实施腹腔镜可逆性子宫动脉阻断联合宫腔镜下吸宫术治疗。分析治疗效果。结果 70例患者手术时间64-120min，平均（85.2±4.8）min，术中出血量58-108ml，平均（85.4±7.0）ml，术后体温36.2-37.6℃，平均（37.2±0.4）℃，术后住院时间2-4d，平均（3.2±0.3）d。患者手术后24h的血β-hCG指标明显低于手术前（P