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：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.