影响胎盘植入凶险程度的临床高危因素分析

发布时间：2018-06-01 10:52

本文选题：重型胎盘植入 + 高危因素　；参考：《实用妇产科杂志》2015年12期

【摘要】：目的:探讨影响胎盘植入凶险程度的临床高危因素。方法:对北京大学第三医院2003年1月至2014年12月收治的产后诊断为胎盘植入的633例病例进行回顾性调查,采用Logistic回归方法对影响胎盘植入凶险程度的临床高危因素进行单因素和多因素分析。结果:重型胎盘植入(包括穿透型及植入型)69例,轻型(粘连型)胎盘植入564例。单因素回归分析结果提示,轻型组与重型组比较,孕产妇在孕次、产次、宫腔操作次数、瘢痕子宫、多胎妊娠和前置胎盘间差异有统计学意义(P0.05)。多因素回归分析结果提示,瘢痕子宫、多胎妊娠和前置胎盘是影响胎盘植入凶险程度的独立高危因素(P0.05)。结论:有剖宫产史或合并前置胎盘以及多胎妊娠孕妇应加强监测,需警惕重型胎盘植入的发生。
[Abstract]:Objective: to investigate the clinical risk factors affecting the risk of placenta accreta. Methods: from January 2003 to December 2014, 633 cases diagnosed as placenta accreta in the third Hospital of Peking University were retrospectively investigated. Univariate and multivariate analysis of clinical high risk factors affecting the risk of placenta accreta was carried out by Logistic regression. Results: 69 cases of severe placenta accreta (including penetrating type and accreta type) and 564 cases of mild (adherent type) placenta accreta. Univariate regression analysis showed that there were significant differences in pregnancy, delivery, uterine cavity operation, scar uterus, multiple pregnancy and placenta previa between the light group and the severe group (P 0.05). The results of multivariate regression analysis showed that the scar uterus, multiple pregnancy and placenta previa were independent high risk factors affecting the risk of placenta accreta. Conclusion: pregnant women with history of cesarean section or placenta previa and multiple pregnancy should be monitored and be on guard against the occurrence of severe placenta accreta.
【作者单位】：北京大学第三医院;
【基金】：首都临床特色应用研究专项基金(编号:2013053)
【分类号】：R714.462

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