孕晚期凶险性前置胎盘49例临床分析

发布时间：2018-06-27 00:34

  本文选题：凶险性前置胎盘 + 胎盘植入　； 参考：《新疆医科大学》2016年硕士论文

【摘要】：目的:探讨孕晚期凶险性前置胎盘患者的临床特点、母婴结局和终止妊娠的治疗方案,并分析凶险性前置胎盘合并胎盘植入的危险因素。方法:总结新疆医科大学第一附属医院自2012年6月至2015年5月共收治的49例孕晚期凶险性前置胎盘病例,按临床诊断和病理诊断分为胎盘植入组(28人)和非胎盘植入组(21人),对两组的临床特点、母婴结局和终止妊娠的治疗方案进行回顾性分析,并对凶险性前置胎盘合并胎盘植入的危险因素进行分析。结果:2012年6月至2015年5月新疆医科大学第一附属医院凶险性前置胎盘的发病率为2.3‰,凶险性前置胎盘合并胎盘植入的发病率为1.3‰。植入组和非植入组的年龄及既往妊娠次数无明显差别(P0.05)。植入组与非植入组在既往剖宫产次数方面比较有统计学意义(P0.05),Logistics回归分析显示,既往剖宫产史(OR=3.981,P=0.031,95%CI:0.996~15.414)为凶险性前置胎盘合并胎盘植入的独立危险因素。植入组较非植入组产时产后出血量大,切除子宫例数多、术后重症医学科转入率高、体温异常人数多、住院天数长(P0.05),并易合并膀胱损伤。植入组与非植入组在新生儿体重、1分钟Apgar评分等方面比较均无统计学差异(P0.05)。结论:凶险性前置胎盘合并胎盘植入更易发生子宫切除、产后出血、入住重症医学科、感染及住院天数的延长。既往剖宫产史为凶险性前置胎盘合并胎盘植入的独立危险因素。
[Abstract]:Objective: to investigate the clinical features, maternal and child outcomes and termination of pregnancy in patients with dangerous placenta previa in late pregnancy, and to analyze the risk factors of placenta previa associated with placenta accreta. Methods: a total of 49 cases of dangerous placenta previa in the third trimester of pregnancy in the first affiliated Hospital of Xinjiang Medical University from June 2012 to May 2015 were summarized. According to the clinical diagnosis and pathological diagnosis, the placenta accreta group (28 cases) and the non-placental accreta group (21 cases) were divided into two groups. The risk factors of placenta previa associated with placenta accreta were analyzed. Results: from June 2012 to May 2015, the incidence of dangerous placenta previa in the first affiliated hospital of Xinjiang Medical University was 2.3 鈥，

本文编号：2072006