| 何淑凤,邹金芳.70例凶险性前置胎盘伴或不伴胎盘植入妊娠结局的分析[J].安徽医药,2017,21(11):2029-2031. |
| 70例凶险性前置胎盘伴或不伴胎盘植入妊娠结局的分析 |
| Pregnancy outcome analysis for 70 cases of dangerous placenta previa accompany with or not placenta increta |
| 投稿时间：2017-03-13 |
| DOI： |
| 中文关键词: 凶险性前置胎盘 胎盘植入 瘢痕子宫 产后失血 子宫切除 |
| 英文关键词: Dangerous placenta previa Placenta accrete Scarred uterus Postpartum loss of blood Hysterectomy |
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| 中文摘要: |
| 目的 通过对70例凶险性前置胎盘的临床资料分析,探讨其妊娠结局。方法 对住院的70例凶险性前置胎盘患者的临床病例资料进行回顾性分析,病例资料依据胎盘有无植入,分为A组(植入组31例)、B组(非植入组39例),比较两组的一般临床资料及妊娠结局。结果 两组患者的年龄、术前血红蛋白(Hb)、孕次、流产次数、孕周一般临床资料对比,差异无统计学意义(P＞0.05)。剖宫产次数比较,差异有统计学意义(P<0.05)。A组失血量、输血量、手术时间、住院时间、子宫切除及合并脏器损伤均较B组高(P<0.05),两组新生儿出生体质量及窒息情况比较,差异无统计学意义(P＞0.05)。A组累及宫颈管组和未累及宫颈管组子宫切除比较,差异无统计学意义(P＞0.05)。结论 凶险性前置胎盘伴胎盘植入病情凶险,子宫切除及脏器损伤发生率高,甚至危及产妇生命。术前做好病情评估,术中果断决策,共同提高母婴安全。 |
| 英文摘要: |
| Objective To analyzes clinical data of 70 cases placenta previa dangerous and to discuss the pregnancy outcome. MethodsA retrospective analysis of the clinical data of the 70 cases placenta previa dangerous was conducted in Department of Obstetrics,Wuxi Maternal and Child Health Care Hospital from January 2010 to December 2016.Base on presence of implant,Data of cases were assigned into group A(implant group of 31 cases) and group B(39 patients with non-plantation).The general clinical data of two groups and pregnancy outcome were compared. Results The results show that there were no significant differences in patient′s age,preoperative Hb,gravida and parity,abortion times and gestational weeks between the two groups(P＞ 0.05).The numbers of cesarean delivery comparison,the differences were statistical significance(P<0.05).Group Ahigher than group Bin blood loss,volume of blood transfusion,operative time,hospital stays,hysterectomy and combined with other visceral trauma(P<0.05).The mean newborn birth weight and the incidence of neonatal asphyxia in the two groups were similar(P>0.05).The hysterectomy rate of Group Ainvolving cervical tube group and without involving the cervix is no statistically significant difference(P＞ 0.05). Conclusions Dangerous placenta previa with placenta increta dangerous illness,hysterectomy and organ injury incidence rate is high,even life-threatening maternal.Preoperative evaluations and intraoperative decisive decision-making can improve security of maternity and fetus all together. |
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