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124例胎盘植入高危因素分析

发布时间:2018-05-05 15:39

  本文选题:胎盘植入 + 高危因素 ; 参考:《现代妇产科进展》2015年08期


【摘要】:目的:探讨产妇发生胎盘植入的相关危险因素,为有效控制及减少胎盘植入的发生提供依据。方法:回顾分析124例胎盘植入产妇的临床资料,分析引起胎盘植入的相关危险因素。结果:胎盘植入的发生率为0.19%(124/66000),其中粘连性胎盘植入占7.26%(9/124),植入性胎盘植入占73.39%(91/124),穿透性胎盘植入占19.35%(24/124)。单因素分析结果显示,孕妇年龄≥30岁、孕前BMI≥24kg/m2、流产史、孕次≥2次、宫腔操作史、前置胎盘、疤痕子宫、早孕期阴道出血史是胎盘植入发生的危险因素(P0.05或P0.01)。多因素Logistic回归分析显示,合并有前置胎盘、疤痕子宫、早孕期阴道出血史是引起胎盘植入的独立危险因素(P0.01)。结论:应对前置胎盘、疤痕子宫、早孕期阴道出血史的孕妇进行干预,以降低胎盘植入的发生。
[Abstract]:Objective: to explore the risk factors of placenta accreta in order to control and reduce the occurrence of placenta accreta effectively. Methods: the clinical data of 124 pregnant women with placenta accreta were analyzed retrospectively and the risk factors of placenta accreta were analyzed. Results: the incidence of placenta accreta was 0.19 / 66000, of which adherent placenta accreta accounted for 7.26%, accreta for 73.39%, accreta for 91% 124%, penetrating placenta accreta 19.35% for 24 / 124%. Univariate analysis showed that the risk factors of placenta accreta were age 鈮,

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