凶险性前置胎盘96例临床分析  

Clinical analysis of 96 cases of pernicious placenta previa

作　　者：安红敏[1] 王继水[1] 赵天天 张烨 潘耀平[1] 

机构地区：[1]山东省济宁医学院附属医院产一科,山东济宁272000

出　　处：《吉林医学》2018年第1期39-42,共4页Jilin Medical Journal

摘　　要：目的:探讨凶险性前置胎盘的临床特点,进一步提高对凶险性前置胎盘的认识。方法:选取96例凶险性前置胎盘中孕产妇的妊娠结局进行回顾性分析。结果:凶险性前置胎盘中央型与非中央型比较,(1)胎盘植入率:中央型为48.84%,明显高于非中央型前置胎盘植入率22.64%(P<0.05)。(2)术中出血:中央型(1 860.00±1 510.00)ml,明显高于凶险性前置胎盘非中央型的(730.00±570.00)ml(P<0.05)。(3)子宫切除情况:中央型18.60%,明显高于非中央型3.77%(P<0.05)。结论:凶险性前置胎盘中央型易合并胎盘植入,出血是最主要的风险,危及母婴生命安全。Objective To evaluate the clinical characteristics of pernicious placenta previa,so as to deepen understanding of it. Method To retrospectively analyze pregnancy outcomes of 96 cases of pernicious placenta previa. Results Compared with the non-central type of placenta previa group of central type,（1）Rate of placenta increta： The rate of placenta increta was found to be 48. 84% in the central type of placenta previa group,significantly higher than that of non-central type of placenta prvia group,which was 22. 64%（P〈0. 05）.（2）Blood loss during operation： Blood loss was（1 860. 00 ± 1 510. 00） ml in the central type of placenta previa group,while（730. 00 ± 570. 00） ml in the non-central type of placenta prvia group（P〈0. 05）.（3）Hysterectomy. The rate of hysterectomy was found to be 18. 60% in the central type of placenta previa group,while 3. 77% in the non-central type of placenta prvia group（P〈0. 05）. Conclusion Central type of pernicious placenta previa is more liable to acquire placenta increta,and hemorrhage is the most important risk factor for such patients,with much harm to mothers and infants.

关 键 词：凶险性前置胎盘 中央型与非中央型前置胎盘 胎盘植入 子宫切除 

分 类 号：R714[医药卫生—妇产科学]