凶险性前置胎盘的诊疗策略探讨

发布时间：2018-03-10 18:49

本文选题：凶险性前置胎盘　切入点：诊断　出处：《中外医学研究》2016年05期 　论文类型：期刊论文

【摘要】：目的:分析研究凶险性前置胎盘的临床诊断以及治疗措施。方法:选取2012年3月-2014年4月在笔者所在医院进行住院分娩的凶险型前置胎盘的患者34例(观察组),另外,选取同一时期普通型前置胎盘的患者170例(对照组),对两组患者的临床特征、诊断以及治疗措施给予分析研究。结果:观察组患者孕次明显多于对照组(P0.05);观察组胎盘位置为中央型的比率明显高于对照组(P0.05);观察组并发胎盘植入率、产后出血率以及子宫切除率均高于对照组(P0.05);观察组出血量、输血量均多于对照组(P0.05)。结论:对凶险型前置胎盘采取彩色超声多普勒进行诊断,具有准确性高、无创伤、临床操作简便以及对胎儿无任何影响等相关优势。另外,根据临床诊断结果对凶险型前置胎盘伴有胎盘植入的患者给予全面评估,尽可能减少手术中或者分娩后出血,同时还要降低子宫切除率,进而使产妇生命安全得到保障。
[Abstract]:Objective: to analyze the clinical diagnosis and treatment of dangerous placenta previa. Methods: 34 cases of dangerous placenta previa who were delivered in our hospital from March 2012 to April 2014 were selected. 170 patients with common placenta previa in the same period (control group, clinical features of two groups) were selected. Results: the number of pregnancies in the observation group was significantly higher than that in the control group (P 0.05), the placenta position in the observation group was of central type, and the rate of placenta accreta in the observation group was significantly higher than that in the control group (P 0.05). The rate of postpartum hemorrhage and hysterectomy was higher than that of the control group (P 0.05), the amount of blood loss and blood transfusion in the observation group was higher than that in the control group (P 0.05). Conclusion: the diagnosis of dangerous placenta previa by color Doppler sonography has high accuracy and no injury. In addition, according to the results of clinical diagnosis, the patients with dangerous placenta previa with placenta accreta were evaluated comprehensively to minimize bleeding during operation or after delivery. At the same time, to reduce the rate of hysterectomy, thereby ensuring the safety of maternal life.
【作者单位】：宣威市第一人民医院;
【分类号】：R714.56

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