前置胎盘合并胎盘植入患者临床特点分析

发布时间：2019-01-25 19:52

【摘要】：目的分析前置胎盘合并胎盘植入患者的临床特点。方法前置胎盘患者324例,其中合并胎盘植入38例(研究组),未合并胎盘植入286例(对照组)。观察前置胎盘类型与胎盘植入的关系,分析孕产次数、分娩方式、分娩孕周、分娩结局(产后出血、全/半切子宫、早产)对前置胎盘合并胎盘植入的影响。结果研究组孕产次数≥2次的产妇比率大于对照组(P0.05或0.01),2、3次剖宫产产妇比率大于对照组(P均0.05)。研究组产后出血比率、出血量及全/半切子宫比率均大于对照组(P0.05或0.01)。结论前置胎盘产妇孕产次数增加、剖宫产等是合并胎盘植入的危险因素,胎盘植入增加前置胎盘孕妇子宫切除概率及产后出血风险。
[Abstract]:Objective to analyze the clinical features of placenta previa with placenta accreta. Methods 324 patients with placenta previa, including 38 patients with placenta accreta (study group) and 286 patients without placenta accreta (control group). To observe the relationship between placenta previa type and placenta accreta, to analyze the influence of pregnancy times, delivery mode, delivery weeks and delivery outcome (postpartum hemorrhage, total / half hysterectomy, preterm delivery) on placenta previa with placenta accreta. Results the ratio of pregnant women in the study group was higher than that in the control group (P0.05 or 0.01), and the ratio of 2 or 3 cesarean sections in the study group was higher than that in the control group (P 0.05). The rates of postpartum hemorrhage, bleeding and total / hemiectomized uterus in the study group were higher than those in the control group (P0.05 or 0.01). Conclusion pregnant women with placenta previa and cesarean section are the risk factors of placenta accreta. Placenta accreta increases the probability of hysterectomy and the risk of postpartum hemorrhage in placenta previa.
【作者单位】： 天津市中心妇产科医院;
【分类号】：R714.2

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