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目的探讨帆状胎盘发生的相关因素,为其早期诊断提供依据。方法回顾性分析66例单胎合并帆状胎盘产妇的一般资料,以同期分娩的100例正常单胎产妇作为对照,对一些产科因素进行对比分析。结果帆状胎盘的发生率为0.28%,其围生儿病死率为6.06%。帆状胎盘与早产、胎膜早破、胎儿生长受限、胎儿窘迫、无应激试验异常、宫缩负荷试验异常等产科因素有关。结论帆状胎盘缺乏特征性临床表现,当多个相关产科因素同时出现时,应考虑帆状胎盘发生的可能。超声检查是帆状胎盘最主要的辅助检查手段。
Objective To investigate the related factors of sail placenta and provide basis for its early diagnosis. Methods A retrospective analysis of 66 cases of single-fetus with sail-like placenta of general information on maternal delivery of 100 cases of normal single-fetus as a control, some of the obstetric factors were analyzed. Results The incidence of sail placenta was 0.28%, and its perinatal mortality was 6.06%. The sagging placenta is associated with obstetric factors such as prematurity, premature rupture of membranes, fetal growth restriction, fetal distress, stress-free test, and contractile load test. Conclusions The sail placenta lacks a characteristic clinical manifestation and the possibility of occurrence of a sail placenta should be considered when multiple related obstetric factors occur simultaneously. Ultrasonography is the most important auxiliary test of the sail-like placenta.