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目的:对不同类型前置胎盘妊娠结局的影响及相关性进行探讨,为临床诊断和处置提供相关依据。方法:选取2013年1月~2014年1月该院确诊为前置胎盘的80例患者作为研究对象,分为完全性前置胎盘组(A组,30例)、部分性前置胎盘组(B组,35例)和边缘性前置胎盘组(C组,15例),对3组患者的一般情况、妊娠结局和围生儿状况进行比较分析。结果:3组患者年龄、孕次、剖宫产史、早产率和1 min Apgar评分比较,差异有统计学意义(P<0.05);3组妊娠结局、孕程和产次比较,差异无统计学意义(P>0.05)。结论:完全性前置胎盘患者出现不良妊娠结局的几率明显增加,与围生儿早产相关。针对患有完全性前置胎盘的患者应做好早产的准备。
Objective: To investigate the influence of different types of placenta previa pregnancy outcome and its correlation, provide the basis for clinical diagnosis and treatment. Methods: Totally 80 patients diagnosed as placenta previa from January 2013 to January 2014 were enrolled in this study. The patients were divided into complete placenta group (group A, n = 30), partial placenta previa Group B, 35 cases) and marginal placenta previa (Group C, 15 cases). The general situation, pregnancy outcome and perinatal condition in three groups were compared. Results: The age, gestational age, history of cesarean section, preterm birth rate and Apgar score at 1 minute were significantly different among the three groups (P <0.05). There were no significant differences in pregnancy outcome, pregnancy course and parity between the three groups Significance (P> 0.05). CONCLUSION: Patients with complete placenta previa have a significantly increased risk of adverse pregnancy outcomes, associated with preterm birth in infants. Patients with a complete placenta previa should be prepared for preterm birth.