Một số đặc điểm của các trường hợp bảo tồn tử cung trong mổ lấy thai bệnh lý rau tiền đạo cài răng lược có sẹo mổ đẻ cũ tại Bệnh viện Phụ sản Hà Nội

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Tác giả: Tuấn Đạt Đỗ, Thị Năm Lê, Duy Ánh Nguyễn, Quang Vinh Trương

Ngôn ngữ: vie

Ký hiệu phân loại: 618.5 Labor complications

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 101-105

Bộ sưu tập: Metadata

ID: 500481

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Chủ đề

Mô tả đặc điểm lâm sàng, cận lâm sàng của các trường hợp bảo tồn tử cung trong mổ lấy thai bệnh lý rau tiền đạo cài răng lược có sẹo mổ đẻ cũ tại Bệnh viện Phụ sản Hà Nội. Phương pháp nghiên cứu: Nghiên cứu mô tả hồi cứu trên 50 trường hợp có sẹo mổ cũ đã được chẩn đoán rau tiền đạo cài răng lược và phẫu thuật lấy thai bảo tồn tử cung tại Bệnh viện Phụ sản Hà Nội từ tháng 05/2020 đến tháng 07/2021. Kết quả: Tuổi thai khi được chẩn đoán RTĐCRL là 29,3 ± 2,33 tuần
tuổi thai trung bình lúc mổ là 36,2 ± 1,92 tuần
sản phụ có tiền sử mổ lấy thai 2 lần chiếm tỷ lệ cao nhất 50,0%. Ra máu là dấu hiệu lâm sàng thường gặp nhất (chiếm 58,0%). Rau bám tại vị trí mặt trước tử cung chiếm tỉ lệ 78,0%. Tỷ lệ sản phụ mất khoảng sáng sau rau và có mạch máu bất thường chiếm nhiều nhất, lần lượt là 58,0%, 44,0%. Kết luận: Nghiên cứu của chúng tôi bước đầu ghi nhận các kết quả về đặc điểm lâm sàng, cận lâm sàng của các thai phụ rau tiền đạo cài răng lược có sẹo mổ đẻ cũ, đặc biệt là các dấu hiệu trên siêu âm Doppler đánh giá trước mổ sẽ góp phần cho các phẫu thuật viên tiên lượng khả năng thành công của một ca phẫu thuật bảo tồn tử cung ở những trường hợp này.To describe clinical and paraclinical characteristics of cases of uterine preservation in cesarean section with placenta previa with old cesarean section scars at Hanoi Obstetrics and Gynecology Hospital. Methods: A retrospective descriptive study on 50 cases of old surgical scars diagnosed with placenta previa and uterus-conserving cesarean section at Hanoi Obstetrics and Gynecology Hospital since May 2020 until July 2021. Results: Gestational age at diagnosis of RLS was 29.3 ± 2.33 weeks
average gestational age at cesarean section was 36.2 ± 1.92 weeks
Women with a history of cesarean section twice accounted for the highest rate of 50.0%. Bleeding is the most common clinical sign (accounting for 58.0%). The placenta at the front of the uterus accounted for 78.0%. The percentage of women who lost light space after the placenta and had abnormal blood vessels accounted for the most, 58.0%, 44.0%, respectively. Conclusion: Our study initially recorded the results of clinical and subclinical characteristics of pregnant women with placenta previa with old cesarean section scars, especially signs on Doppler ultrasound. Preoperative evaluation will contribute to the surgeons predicting the success of uterine-conserving surgery in these cases.

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