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目的探究不同附着位置前置胎盘产妇的影响因素以及母婴结局,为临床诊断与治疗提供借鉴。方法回顾性分析2012年2月—2016年6月收治的前置胎盘产妇90例的临床资料,根据胎盘附着位置的不同将其分入到前壁组(胎盘附着于子宫前壁)和后壁组(胎盘附着于子宫后壁)中,回顾性分析两组产妇的年龄、孕周、妊娠次数、瘢痕子宫、前置胎盘类型、围生期母婴结局等资料,数据进行统计学处理,P<0.05为差异有统计学意义。结果前壁组产妇的妊娠次数更多,瘢痕子宫概率更高(P<0.05);前壁组产妇的完全性胎盘类型概率更高,在部分性和边缘性上则更低(P<0.05);前壁组产妇并发症发生率和新生儿并发症发生率均低于后壁组(P<0.05)。结论前置胎盘中的胎盘附着于前壁与妊娠次数、瘢痕子宫密切相关,且很容易出现母婴并发症,影响到母婴健康。做好高危前置胎盘产妇的早期干预有助于改善母婴结局。
Objective To investigate the influencing factors and maternal and infant outcomes of antenatal placenta in different attachment sites and provide references for clinical diagnosis and treatment. Methods The clinical data of 90 cases of placenta previa from February 2012 to June 2016 were retrospectively analyzed. According to the location of placenta attachment, they were divided into the anterior wall group (the placenta attached to the anterior wall of the uterus) and the posterior wall (Placenta attached to the posterior wall of the uterus) were retrospectively analyzed the data of two groups of maternal age, gestational age, number of pregnancy, scar uterus, placenta previa, perinatal maternal and infant outcomes, the data were statistically processed, P <0.05 for the difference was statistically significant. Results The number of pregnant women in the anterior wall group was significantly higher than that in the untreated group (P <0.05). The incidence of complete placenta was higher in the anterior wall group and lower in partial and marginal (P <0.05) The incidence of maternal complications and neonatal complications in the anterior wall group were lower than those in the posterior wall group (P <0.05). Conclusions The placenta attached to the anterior wall of the placenta previa is closely related to the number of pregnancies and the uterus of the scar, and it is very easy to have the complications of both mother and infant and affect the health of the mother and the infant. Early intervention of high-risk placenta previa helps to improve mother-infant outcome.