112例前置胎盘患者的临床分析  

Clinical Analysis of 112 Patients With Placenta Previa

作　　者：吉向丽[1] 陈淑荣[1] 尚英华[1] 

机构地区：[1]赤峰市医院妇产科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2015年第9期1050-1053,共4页Inner Mongolia Medical Journal

摘　　要：目的探讨前置胎盘对妊娠结局的影响。方法对本院2010年1月至2014年12月收治的112例前置胎盘患者的临床资料进行回顾性分析,比较不同类型前置胎盘对妊娠结局和新生儿的影响,以及产前出血对妊娠结局的影响。结果 5年间前置胎盘的发生率为3.08%(112/3 636)。完全性前置胎盘在早产、产前出血、产后出血、围手术期输血、胎盘植入、胎盘粘连及子宫切除的发生率高于部分性和边缘性前置胎盘组(P<0.05)。边缘性前置胎盘组新生儿的1min Apgar评分高于完全性及部分性前置胎盘组(P<0.05)。产前出血组的早产、胎盘植入及胎盘粘连发生率明显高于无产前出血组(P<0.05)。结论前置胎盘是妊娠期严重的并发症,妊娠结局与前置胎盘的类型密切相关。Objective To explore the maternal and perinatal outcomes of placenta previa（PP）.Methods A total of 112 pregnancies with PP from January 2010 to December 2014 at our hospital were retrospectively reviewed.The maternal and perinatal outcomes of different types of 112 singleton PP were evaluated and the prepartum hemorrhage were compared.Results The incidence rate of PP was 3.08%（112/3636）.Premature delivery in women with complete PP were lower than those with partial and marginal PP（P〈0.05）.Compared with partial and marginal PP group,the rate of prepartum hemorrhage and postpartum hemorrhage and blood transfusion and placenta accrete and placenta adhesion and uterus resection were higher in complete PP.The rate of neonatal asphyxia in complete and partial PP group was higher than marginal PP group（P〈0.05）.Premature delivery and placenta accrete and placenta adhesion in the prepartum hemorrhage group were higher than no prepartum hemorrhage（P〈0.05）.Conclusion Placenta previa is serious complications during pregnancy.Pregnancy outcome is related to the types of Placenta previa.

关 键 词：前置胎盘 前置胎盘类型 妊娠结局 

分 类 号：R714.25[医药卫生—妇产科学]