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目的探讨前置胎盘的类型与产前出血及妊娠结局的关系。方法回顾性分析本院2007年5月至2012年5月收治的80例前置胎盘患者的病例资料。其中完全性前置胎盘26例,部分性前置胎盘24例,边缘性前置胎盘30例,分3组。对其产前出血、妊娠结局进行比较。结果产前初次出血时间、出血次数、出血量、终止妊娠孕周、分娩方式、产后出血、新生儿窒息等比较,3组差异有统计学意义(P<0.05)。结论前置胎盘是妊娠晚期严重并发症,其类型与产前出血及妊娠结局关系密切。处理不当可危及母儿生命,应给予高度重视。
Objective To investigate the relationship between the type of placenta previa and prenatal bleeding and pregnancy outcome. Methods The clinical data of 80 patients with placenta previa admitted to our hospital from May 2007 to May 2012 were retrospectively analyzed. Among them, 26 cases of complete placenta previa, 24 cases of partial placenta previa and 30 cases of marginal placenta previa were divided into 3 groups. Prenatal bleeding, pregnancy outcomes were compared. Results There were significant differences among the three groups (P <0.05) in terms of the time of prenatal bleeding, the number of bleeding, the amount of bleeding, the gestational age at termination of pregnancy, mode of delivery, postpartum hemorrhage and neonatal asphyxia. Conclusion The placenta previa is a serious complication in the third trimester of pregnancy. The type of placenta previa is closely related to the outcome of prenatal hemorrhage and pregnancy. Improper handling can endanger the lives of mothers and children should be given high priority.