帆状胎盘的危险因素及围产儿结局

发布时间：2018-04-21 20:02

本文选题：帆状胎盘 + 危险因素　；参考：《中国医学科学院学报》2015年03期

【摘要】：目的探讨帆状胎盘(VCI)的相关危险因素及对围产儿结局的影响。方法回顾性分析2006年1月至2011年1月在首都医科大学附属北京妇产医院产科就诊的588例VCI患者的临床资料,并以同期61 143例非VCI患者为对照组,分析VCI相关危险因素及对围产儿结局的影响,总结VCI围产儿死亡的原因。结果双胎妊娠、多胎妊娠、试管婴儿、前置胎盘、副胎盘/双叶胎盘为VCI的相关危险因素。VCI组中小于胎龄儿、胎儿生长受限、新生儿窒息、新生儿死亡、死胎、单脐动脉发生率均明显高于非VCI组(P均0.05)。678例帆状胎盘围产儿中,7例(1.0%)死亡,其中,1例死于VCI前置血管,3例死于早产低出生体重儿,1例死于脐带扭转,1例死于脐带脱垂,1例死于胎盘早剥。结论重视VCI的相关危险因素,利用现代超声技术在产前作出正确诊断,提高产前诊断率,适时终止妊娠,是降低围产儿死亡率的关键。
[Abstract]:Objective to investigate the risk factors of VCI and its influence on perinatal outcome. Methods the clinical data of 588 patients with VCI who were admitted to Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University from January 2006 to January 2011 were analyzed retrospectively. 61,143 non- patients were used as control group. To analyze the risk factors of VCI and its influence on perinatal outcome, and to summarize the causes of perinatal death in VCI. Results Twin pregnancy, multiple pregnancy, test tube infant, placenta previa, placenta accessory placenta / double leaf placenta were the risk factors of VCI. In VCI group, fetal growth was limited, neonatal asphyxia, neonatal death, stillbirth. The incidence of single umbilical artery was significantly higher than that of non VCI group (P < 0.05). Among them, 1 case died of VCI, 3 cases died of premature low birth weight infant, 1 case died of umbilical cord torsion and 1 case died of umbilical cord prolapse, 1 case died of placental abruption. Conclusion the key to reduce perinatal mortality is to pay attention to the risk factors related to VCI, to make correct diagnosis by using modern ultrasound technology, to improve the prenatal diagnosis rate and to terminate pregnancy at the right time.
【作者单位】：首都医科大学附属北京妇产医院产科;
【分类号】：R714.7

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