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目的探讨凶险型前置胎盘的临床特点。方法回顾性分析中国医科大学附属盛京医院产科2009年8月至2014年8月收治的128例凶险型前置胎盘患者(观察组)与384例普通型前置胎盘患者(对照组)的临床资料,并进行比较。结果观察组发生胎盘粘连(22.6%)、胎盘植入(44.5%)、子宫切除(20.3%)、产后出血(51.6%)及输血(42.2%)的比例明显高于对照组(分别为16.7%、5.2%、1.8%、11.7%、4.9%),差异有统计学意义(P<0.05)。两组新生儿结局比较,观察组早产儿发生率(53.9%)明显高于对照组(39.3%),差异有统计学意义(P<0.05)。结论凶险型前置胎盘严重威胁母儿生命安全,严格掌握剖宫产指征,降低剖宫产率,是减少凶险型前置胎盘发生的关键环节。
Objective To investigate the clinical features of dangerous placenta previa. Methods The clinical data of 128 cases of dangerous placenta previa (observation group) and 384 cases of common type of placenta previa (control group) admitted from August 2009 to August 2014 in Shengjing Hospital Affiliated to China Medical University were retrospectively analyzed. Data, and compare. Results The proportion of placenta accreta (22.6%), placenta accreta (44.5%), hysterectomy (20.3%), postpartum hemorrhage (51.6%) and transfusion (42.2%) were significantly higher in the observation group (16.7% , 5.2%, 1.8%, 11.7% and 4.9%, respectively), the difference was statistically significant (P <0.05). The incidence of preterm infants in the observation group (53.9%) was significantly higher than that in the control group (39.3%), the difference was statistically significant (P <0.05). Conclusion The threatening placenta previa placenta threatens the life and safety of maternal and child seriously, and strictly control the indications of cesarean section and reduce the rate of cesarean section, which is the key to reduce the incidence of dangerous placenta previa.