关键词: 合作行为；, 组织和管理；, 卫生资源；, 前置胎盘；, 侵入性胎盘

Abstract: Objective：To evaluate the clinical value of multidisciplinary diagnosis and treatment mode in the perioperative period of  placenta percreta. Methods: From January 2015 to June 2018, 67 cases were diagnosed placenta percreta by prenatal ultrasonic score system and confirmed by intraoperative findings at the Gansu Provincial Maternity and Child Care Hospital. According to the diagnosis and treatment mode, it is divided into two groups: specialized diagnosis and treatment group (32 cases) and multidisciplinary diagnosis and treatment group (35 cases). The general conditions, intraoperative and postoperative conditions were collected and compared between the two groups. Results: There were no significant differences between in the severity of placenta implantation, age, gravidity, number of abortions, number of cesarean section and gestational week of termination between the two groups (all P＞0.05). The intraoperative bleeding volume, intraoperative blood transfusion volume, the operation time, hysterectomy rate, bladder rupture rate and coagulation function abnormality rate in the multidisciplinary cooperative diagnosis and treatment group were lower than those in the specialized diagnosis and treatment group, and the differences were statistically significant (all P＜0.05). The postoperative hospitalization time, incidence of postoperative fever and hospitalization expenses in the multidisciplinary cooperative diagnosis and treatment group were lower than those in the specialized diagnosis and treatment group, and the differences were statistically significant (all P＜0.05). There was no significant difference in 24-hour blood loss after operation and Apgar score 5 minutes after operation between the two groups (P＞0.05). Conclusions: Multidisciplinary diagnosis and treatment mode plays a significant role in the perioperative period of placenta percreta, which can significantly reduce the amount of intraoperative bleeding, intraoperative blood transfusion, the occurrence of intraoperative bladder rupture, hysterectomy, reduce the occurrence of postoperative coagulation dysfunction, and effectively save medical resources.

Key words: Cooperative behavior;, Organization and administration;, Health resources;, Placenta previa, Placenta accreta