前置胎盘102例临床分析  

Clinical analysis of 102 placenta praevia

作　　者：梁小玲[1] 郭韶玲[1] 

机构地区：[1]汕头市中心医院妇产科,广东汕头515031

出　　处：《中国基层医药》2005年第8期969-970,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨前置胎盘病因、防治方法,降低母婴死亡率.方法对我院2001年1月至2004年12月收治的102例前置胎盘患者资料进行回顾性分析.结果 102例前置胎盘中妊娠次数2～7次者84例,占82.35%,经产妇69例,占67.65%,有多次人流、引产、剖宫产史者56例,占54.9%.B超对前置胎盘的检出率为92.86%,愈接近中央性前置胎盘其出血发生愈早愈严重,期待治疗35例,平均延长孕龄19 d,剖宫产92例,占90.2%.结论前置胎盘与多产、多次刮宫、引产关系密切.期待治疗及适时剖宫产术既延长孕周又减少母儿并发症,可避免大出血对母婴生命的威胁.剖宫产已成为前置胎盘终止妊娠的最佳方式.Objective To discuss the cause of placenta praevia,investigate the prevention and cure method and reduce the mortality of mother and baby. Methods 102 cases of placenta praevia in our hospital from January 2001 to December 2004 were analyzed retrospectively. Results There were 84 cases（82.35 % ） of 2 ～ 7 times of pregnancy,69 cases（67.65 % ） of pluripara ,56 cases（54.9 % ） of many times of artificial abortion and induced labor and cesarean section in 102 cases of placenta praevia. The rate of checked the placenta praevia by ultrasonography reached 92.86 % , patients with the more central types of placenta praevia tend to bleed earlier and more heavily alter conservative approach. The average pregnancy of 35 patients extended to 19 dates by expectant treatment and there were 92 cases（90.2 % ） of cesarean section. Conclusions The placenta praevia is closely related with the many times of delivery and artificial abortion and induced labor. Expectant treatment and timing cesarean section may be lenghten pregnant week and reduce the complication of mother and baby, avoid massive hemorrhage imperiling the life of mother and baby,which is the best way of termination of pregnancy in placenta praevia.

关 键 词：胎盘 前置 药物疗法 剖宫产术 子宫出血 中央性前置胎盘 临床分析 母婴死亡率 剖宫产史 适时剖宫产术 期待治疗 

分 类 号：R714.2[医药卫生—妇产科学]