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目的分析孕产妇帆状胎盘发生及对围产儿影响。方法采用回顾性方法分析诸暨市人民医院2001—2012年13 200名孕产妇经产后确诊的38例帆状胎盘病例资料;围产期结局与同期13 162例非帆状胎盘病例进行比较。结果 13 200名孕产妇经产后确诊帆状胎盘38例,发生率为0.29%;帆状胎盘合并前置血管10例,发生率为0.08%。38例帆状胎盘病例中,发生胎儿窘迫22例(57.89%),新生儿窒息18例(47.37%),新生儿死亡4例(10.53%);低体重儿20例(52.63%),早产儿16例(42.11%)。结论帆状胎盘前置血管破裂严重危害围产儿健康,孕产妇应加强产前超声检查以早期发现帆状胎盘。
Objective To analyze the occurrence of maternal placenta and its effects on perinatal children. Methods A retrospective analysis was conducted on 38 cases of sail-like placenta confirmed by postpartum among 13 200 pregnant women in Zhuji People’s Hospital from 2001 to 2012. The perinatal outcome was compared with 13 162 cases of non-sail placenta in the same period. Results Thirty-eight maternal placentas were diagnosed by postpartum in 13 200 pregnant women, the incidence rate was 0.29%. In 10 cases, 10 cases of pre-ampullary placenta were merged, the incidence was 0.08%. In 38 cases of sail placenta, there were 22 cases of fetal distress (57.89%), neonatal asphyxia in 18 cases (47.37%), neonatal death in 4 cases (10.53%), low birth weight infants in 20 cases (52.63% 16 cases (42.11%). Conclusion Premature rupture of the placenta previa ruptured the perinatal health seriously. Pregnant women should strengthen the prenatal ultrasound to detect the early placenta.