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目的回顾性分析凶险型前置胎盘的临床特点、术中情况及处理对策,减少母婴并发症。方法比较16例凶险型前置胎盘与61例非凶险型前置胎盘患者的临床资料。结果凶险组胎盘粘连(或植入)、产后出血、术中输血及子宫切除率均明显高于非凶险组。结论减少无指征剖宫产可减少前置胎盘的发生;重视凶险型前置胎盘的诊断,提高认识,做好充分准备,可减少并发症。
Objective To retrospectively analyze the clinical features, intraoperative and management strategies of dangerous placenta previa and to reduce the complications of mother and infant. Methods The clinical data of 16 cases of dangerous placenta previa and 61 cases of non-dangerous placenta previa were compared. Results The risk of placental adhesion (or implantation), postpartum hemorrhage, intraoperative blood transfusions and hysterectomy rates were significantly higher than non-dangerous group. Conclusion Reduction of cesarean section without indications can reduce the incidence of placenta previa; pay attention to the diagnosis of dangerous placenta previa, raise awareness and make adequate preparations to reduce complications.