前置胎盘合并胎盘植入的临床分析

发布时间：2018-04-05 07:29

本文选题：前置胎盘　切入点：胎盘植入　出处：《现代妇产科进展》2015年02期

【摘要】：目的:探讨前置胎盘合并胎盘植入的危险因素、临床特点、诊治及母婴结局。方法:回顾分析2008年1月至2014年1月我院诊治的206例前置胎盘患者的临床资料,其中24例合并胎盘植入(研究组),182例单纯前置胎盘患者(对照组)。比较两组患者的临床资料、诊治过程、母婴结局。结果:前置胎盘合并胎盘植入的发生率为0.16%。孕次、流产史、前置胎盘类型、子宫瘢痕史是引起前置胎盘合并胎盘植入的危险因素(P0.05)。研究组的产后出血量、剖宫产率及失血性休克发生率明显高于对照组,差异有统计学意义(P0.05);而两组的新生儿早产、窒息发生率及死亡率比较,差异无统计学意义(P0.05)。结论:孕次、流产次、瘢痕子宫、完全型前置胎盘是胎盘植入的高危因素,前置胎盘孕产妇孕期出血应高度警惕胎盘植入的可能性,应注重预防,提高分娩前诊断率,及时处理,保证母儿安全。
[Abstract]:Objective: to investigate the risk factors, clinical features, diagnosis and treatment of placenta previa with placenta accreta.Methods: the clinical data of 206 patients with placenta previa treated in our hospital from January 2008 to January 2014 were retrospectively analyzed, of which 24 cases were associated with placenta accreta (study group, 182 cases with simple placenta previa) (control group).The clinical data, diagnosis and treatment, and the outcome of mother and child were compared between the two groups.Results: the incidence of placenta previa associated with placenta accreta was 0.16.Pregnancy, history of abortion, type of placenta previa and history of uterine scar were the risk factors of placenta previa with placenta accreta.The amount of postpartum hemorrhage, the rate of cesarean section and the incidence of hemorrhagic shock in the study group were significantly higher than those in the control group (P 0.05), but there was no significant difference between the two groups in the incidence of premature delivery, asphyxia and mortality.Conclusion: pregnancy, abortion, scar uterus and complete placenta previa are high risk factors of placenta accreta. Pregnant women with placenta previa should be highly alert to the possibility of placenta accreta, pay attention to prevention and improve the diagnosis rate before delivery.Timely handling to ensure the safety of mother and child.
【作者单位】：广东省罗定市妇幼保健院;
【分类号】：R714.2

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