先兆流产合并绒毛膜下血肿293例妊娠结局分析  

Analysis of 293 pregnancy outcome for the threatened abortion complicated with subchorionic hematoma

作　　者：陆洋[1] 李慧[1] 李晓红[1] 

机构地区：[1]广东省深圳市宝安区妇幼保健院妇科,广东深圳518000

出　　处：《吉林医学》2015年第12期2453-2455,共3页Jilin Medical Journal

摘　　要：目的:分析绒毛膜下血肿(SCH)的先兆流产患者的妊娠结局。方法:选择293例先兆流产孕妇,按照孕龄及血肿进行分类,回顾性分析不同孕周、不同血肿大小的各组妊娠结局。结果:合并SCH的先兆流产会加重不良妊娠结局的发生,血肿越大,发生血肿的时间越晚,流产、死胎发生率增加,足月分娩率降低,且差异有统计学意义(P<0.05)。有无SCH的先兆流产患者早产率差异异无统计学意义(P>0.05)。妊娠并发症早产、前置胎盘,妊娠期高血压疾病、胎盘早剥、妊娠期糖尿病、胎盘功能不良、胎盘粘连、胎膜早破、产后出血、绒毛膜羊膜炎等发生几率越多。结论:SCH对先兆流产患者的妊娠结局有不良影响。objective To study the pregnancy outcome of threatened abortion with subchorionic hematoma. Method 293 cases of threat-ened abortion pregnant women with gestational age and hematoma were enrolled in the study. Respective analyzed their pregnancy outcome and complication in different gestational age and size of hematoma. Results Subchorionic hematoma with threatened abortion will increase the oc-currence of adverse pregnancy outcomes. The greater the hematoma and the later of the time will increased the incidence rate of abortion,still-birth,and reduced full-term births,Their difference was significant. The presence of SCH threatened abortion premature birth rate,there was no obvious difference. The higher of the pregnancy complication were happened such as premature birth,placenta previa,pregnancy complica-tions hypertension,placental abruption,gestational diabetes,dysfunctional placenta,placenta conglutination,premature rupture of membranes, postpartum hemorrhage and fetal chorioamnionitis etc. Conclusion Subchorionic hematoma in patients with threatened abortion is bad preg-nancy outcome.

关 键 词：绒毛膜下血肿 B超 先兆流产 

分 类 号：R714.21[医药卫生—妇产科学]