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目的探讨前置胎盘的发病原因及处理方法。方法对2009年1月至2010年10月在鹤庆县人民医院妇产科住院分娩的41例中央性前置胎盘患者的临床资料进行回顾性分析。结果住院分娩产妇4489例中,中央性前置胎盘41例,发生率0.8%,其中胎盘植入3例,孕产妇死亡率为0,新生儿窒息4例,新生儿存活率100%。结论对中央性前置胎盘选择合适的处理方法很重要,积极期待疗法加适时的手术处理有助于降低母婴死亡率和发病率。
Objective To investigate the pathogenesis and treatment of placenta previa. Methods The clinical data of 41 cases of central placenta previa who were hospitalized in Obstetrics and Gynecology Department of Heqing County People’s Hospital from January 2009 to October 2010 were analyzed retrospectively. Results Among the 4489 mothers who gave birth in hospital, there were 41 cases of central placenta previa, the incidence rate was 0.8%. Among them, 3 cases were placenta accreta. The maternal mortality rate was 0, neonatal asphyxia was 4, and neonatal survival rate was 100%. Conclusion It is very important to choose the appropriate treatment for central placenta previa. Positive anticipation and timely surgical treatment can reduce maternal and infant mortality and morbidity.