凶险型前置胎盘78例临床分析  

Clinical Analysis of 78 Cases of Placenta Previa

作　　者：杨帆[1] 

机构地区：[1]南阳市第一人民医院妇产科,河南南阳473000

出　　处：《中国继续医学教育》2016年第9期74-75,共2页China Continuing Medical Education

摘　　要：目的探讨凶险型前置胎盘的临床特点,以提高对凶险型前置胎盘的认识。方法回顾性分析我院收治的78例凶险型前置胎盘患者(凶险型组)和422例普通型前置胎盘患者(普通型组)的临床资料,比较两组患者术中情况及两组新生儿结局的不同。结果凶险型组在胎盘植入发生率、产后出血率、术中出血量、子宫动脉结扎率、子宫切除率、输血率、手术时间方面比较,高于普通型组(P<0.05),两组新生儿结局比较差异无统计学意义(P>0.05)。结论凶险型前置胎盘严重威胁母儿健康,对孕产妇有极大的威胁,加强孕期监测,采取有效措施预防及抢救,能够改善妊娠结局。Objective Discuss the clinical features of pernicious placenta previa, to enhance the knowledge to pernicious placenta previa. Methods Retrospectively analyze the clinical data of the 78 pernicious placenta previa patients（pernicious type group） and 422 ordinary type placenta previa patients（ordinary type group） hospitalized, and compare the differences in surgery conditions and newborn outcome. Results The placenta implantation incidence rate, postpartum hemorrhage incidence rate, blood loss of the operation, uterine artery ligation rate,hysterectomy rate,blood transfusion rate, and operative time of the pernicious type group was significantly higher than that of the ordinary type group（P〈0.05）, and there was no statistical significance in newborn outcome of the two groups（P〉0.05）. Conclusion Pernicious placenta previa severely threatens the health of mother and fetus, and is very dangerous to the maternal. By strengthening pregnancy examination, and taking effective measures to avoid and rescue could improve pregnancy outcome.

关 键 词：凶险型前置胎盘 产后出血 胎盘植入 子宫切除 

分 类 号：R714[医药卫生—妇产科学]