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目的探讨不同胎盘主体附着位置的凶险型前置胎盘患者情况及新生儿情况。方法收集2015年1-12月该院收治的35例予以剖宫产的凶险型前置胎盘患者为研究对象,分为研究组(24例,胎盘主体附着于子宫前壁)和对照组(11例,胎盘主体附着于子宫后壁和侧壁组),分析两组患者情况及新生儿情况。结果两组患者一般资料比较,差异无统计学意义(P>0.05);研究组手术时间、术中出血量、子宫切除率及术后住院日明显高于对照组,差异均有统计学意义(P<0.05);研究组新生儿10 min Apgar评分明显低于对照组,差异有统计学意义(P<0.05)。结论育龄妇女应避免多次宫腔操作,合理安排再孕时间,以期降低发生凶险型前置胎盘的危险率;凶险型前置胎盘主体附于前壁者,术前应做好充分准备,术中及时止血,避免产时大出血的发生。
Objective To investigate the prevalence of placenta previa placenta with different placenta attachment sites and neonatal status. Methods Thirty-five patients with cesarean section with placenta previa placenta admitted from January to December in 2015 were enrolled in this study. The study group was divided into study group (24 cases, placenta attached to anterior wall of uterus) and control group (11 cases) Cases, the placenta attached to the posterior wall and the wall of the uterus group), analysis of two groups of patients and neonatal conditions. Results There was no significant difference in the general data between the two groups (P> 0.05). The operation time, blood loss, hysterectomy and postoperative hospital stay in the study group were significantly higher than those in the control group (P> 0.05) P <0.05). The Apgar score of neonates in study group at 10 min was significantly lower than that of control group (P <0.05). Conclusions Women of childbearing age should avoid multiple uterine cavity operations and arrange the time of re-conceiving reasonably to reduce the risk of developing threatened placenta previa. The predilection placenta attached to anterior wall should be adequately prepared before surgery In a timely manner to stop bleeding, to avoid the occurrence of major bleeding during delivery.