不同附着位置胎盘早剥的临床特征  

Clinical Significance of Different Location of Implanted Placenta in Placental Abruption

作　　者：贺雅莉[1] 何美玉[1] 徐惠贞[1] 

机构地区：[1]福建医科大学附属第二医院妇产科,泉州362000

出　　处：《福建医科大学学报》2007年第6期576-577,共2页Journal of Fujian Medical University

摘　　要：目的总结胎盘早剥中不同胎盘附着位置的临床特点,探讨早期诊断方法,提高产前诊断的准确性。方法35例胎盘早剥患者分为前壁组(20例)和后壁组(15例),分析其症状、体征、B超检查、胎儿电子监护、术中情况与并发症及围产儿结局。结果后壁组临床表现较前壁组不典型,腹痛分别为6/15和17/20例,腹部压痛、子宫收缩过强分别为3/15和9/20例,B超诊断率分别为53%和90%。结论后壁胎盘在产前诊断为胎盘早剥较困难,临床上应密切观察,做到早期诊断,早期干预,避免漏诊误诊,改善母儿预后。Objective To analyze the clinical significance of different location of implanted placenta in placental abruption. Method By comparing of in which the placenta implanted on the anterior wall of the uterus （n=20） and those in which the placenta was on the posterior wall （n=15）, retrospectively analyzed the symptoms of abdominal pain, tenderness, uterine contractions frequency and the ultrasound appearance of retro-placental hematoma. Result 18 patients（90%） with an anterior-wall placenta received a diagnosis of placental abruption prenatal, whereas only 8 patients （53%, P〈0. 05） with posterior-wall placenta received a diagnosis of placental abruption prenatal. The symptoms of abdominal pain, tenderness, uterine contractions frequency and the ultrasound appearance of retro-placental hematoma and increased thickening of the placenta are significantly higher in anterior-wall placenta compare with posterior-wall placenta group（P〈0.05）. Conclusion Serious consideration should be given to the diagnosis of placental abruption in patients with a posterior-wall implanted placenta.

关 键 词：胎盘早剥 产前诊断 

分 类 号：R714.2[医药卫生—妇产科学]