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[产褥期胎盘处理与子宫干预指征发生率之间的关系]

[Relationship between the management of the placental phase and the frequency of indication for uterine intervention in the puerperium].

作者信息

Forgách J, Hajnáczky K, Hegedüs T, Krasznai P

机构信息

Fövárosi Péterfy Sándor u. Kórház, Szülészeti és Nögyógyászati Osztály.

出版信息

Orv Hetil. 1992 Feb 25;133(8):467-70.

PMID:1542510
Abstract

Authors examined the frequency of operative intervention in the uterine cavity, becoming inevitably necessary in late puerperium, in 28,835 mothers divided in 3 groups. In group A the controlling of the placental phase was realised in conservative, exspective way; manual or instrumental intervention in the uterine cavity was applied in the case of suspicion of placental remains. In group B the control of placental phase was performed by active procedure. In this group, as well in group A the uterine cavity was controlled only in the case of suspicion of placental remains. In group C the placental phase was effectuated by active procedure. Immediately in postplacentar period the uterine cavity was controlled with curettage. The numerical data of inevitably necessary operative intervention touching the uterus in late puerperium, were in group A the most favourable.

摘要

作者在将28835名母亲分为3组的情况下,研究了产褥期晚期子宫腔内不可避免地需要进行手术干预的频率。A组以保守、探查性方式实现胎盘阶段的控制;怀疑有胎盘残留时进行子宫腔的手动或器械干预。B组通过积极的程序进行胎盘阶段的控制。在该组以及A组中,仅在怀疑有胎盘残留时才对子宫腔进行检查。C组通过积极的程序完成胎盘阶段。在胎盘娩出后立即刮宫检查子宫腔。产褥期晚期子宫不可避免地需要进行手术干预的数值数据在A组最为有利。

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