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目的探讨胎盘植入相关因素及宫腔镜治疗的临床疗效。方法回顾性分析宫腔镜治疗的18例胎盘植入患者的临床资料,将其纳入观察组,按照1:2的比例随机选取同时期36例单胎非胎盘植入的产妇纳入对照组,比较两组产妇的年龄、剖宫产史等临床资料。结果两组产妇比较在年龄≥35岁、剖宫产史、分娩次数≥2次、人流次数≥2次、合并前置胎盘方面差异有统计学意义(P<0.05);18例患者宫腔镜手术均顺利完成,无子宫穿孔、宫颈管撕裂等并发症发生。结论年龄≥35岁、剖宫产史、分娩次数≥2次、人流次数≥2次、合并前置胎盘是发生胎盘植入的高危因素,在B超监测下宫腔镜电切治疗胎盘植入具有较好的疗效及安全性。
Objective To investigate the related factors of placenta accreta and the clinical efficacy of hysteroscopy. Methods The clinical data of 18 patients with placenta accreta treated with hysteroscopy were retrospectively analyzed. The patients were enrolled in the observation group. 36 women with single placenta non-placenta accreta were enrolled in the control group randomly at the ratio of 1: 2. Two groups of maternal age, history of cesarean section and other clinical data. Results The maternal age was 35 years or older, the history of cesarean section, the number of delivery ≥ 2 times, the number of abortions ≥ 2 times and the difference of the placenta previa were statistically significant (P <0.05); 18 cases of hysteroscopy Surgery were successfully completed, no uterine perforation, cervical canal lacerations and other complications occurred. Conclusion The age of 35 years or older, the history of cesarean section, the number of childbirth ≥ 2 times, the number of people inflow ≥ 2 times, combined placenta previa placenta accreta is the risk factors for placenta accreta B monitoring ultrasound placenta accreta Has good efficacy and safety.