凶险性前置胎盘相关原因分析及介入治疗应用效果分析  

Analysis of causes of preclinical placenta in risk and analysis of effect of interventional therapy

作　　者：曾雯琼 徐金霞[1] ZENG Wen qiong;XU Jinxia(Department of Obstetrics,Maternity and in Huai＇an City,Huai＇an 223001,Jiangsu,China)

机构地区：[1]淮安市妇幼保健院产科,江苏淮安223001

出　　处：《中国性科学》2018年第8期113-115,共3页Chinese Journal of Human Sexuality

摘　　要：目的:分析引起凶险性前置胎盘和胎盘植入的相关因素,探讨介入治疗在凶险性前置胎盘剖宫产术中的应用效果。方法:收集2013年1月至2016年9月在江苏省淮安市妇幼保健院住院分娩的43例凶险性前置胎盘产妇的临床资料,根据2∶1配对原则选择86例非凶险性前置胎盘产妇的临床资料为研究对象。将43例凶险性前置胎盘产妇设为试验组,将86例非凶险性前置胎盘产妇设为对照组,比较两组产妇年龄、孕次、产次、流产次数等方面的差异。再将试验组分为介入治疗组16例和非介入治疗组27例,比较两组手术相关指标。结果:试验组产妇孕次、流产次数、本次孕周等均明显高于对照组(t=6. 049,6. 237,6. 099,均P <0. 05);介入治疗组凶险性前置胎盘患者术中出血量、术后24h出血量、手术时间均明显低于对照组(t=3. 851,6. 641,12. 268,均P <0. 05);介入治疗组和非介入治疗组DIC、子宫切除、产后感染率等差异均无统计学意义(χ~2=0. 526,1. 441,0. 360,均P> 0. 05)。结论:孕次、流产次数、本次孕周是引起凶险性前置胎盘的高危因素,介入联合宫腔动脉球囊填塞有助于缩短治疗时间,降低术中出血量。Objective ：To analyze the factors related to the preclinical placenta and placenta accreta, and to explore the effect of interventional therapy in the preclinical placenta cesarean section. Methods ： The clinical data of 43 patients with preclinical placenta mellitus were collected from January 2013 to September 2016 in Matemity and Child Care hospital in Huai＇an City. 86 cases of non-dangerous placenta maternal clinical data was selected according to the 2 ： 1 matching principle. 43 cases of sinister placenta previa were used as the pernicious placenta previa group, and 86 non-pernicious placenta prenatal women were set as non-hazardous placenta previa group. Comparison of the two groups of maternal age, pregnancy times, births, abortion and other aspects of the difference. The pernicious placenta previa group was divided into intervention group 16 cases and non-interventional treatment group of 27 cases, compared the two groups of surgical-related indicators. Results ： The maternal pregnancy, abortion frequency and gestational age in the pernicious placenta previa group were significantly higher than those in the nonpernicious placenta previa group （ t = 6. 049, 6. 237, 6. 099, P 〈 0.05） ; the intraoperative blood loss, 24h postoperative blood loss and operation time of the patients with pernicious placenta previa were significantly lower than those of the control group （t =3. 851, 6. 641, 12. 268, P 〈0.05） ; there were no significant differences in DIC, hysterectomy, and postpartum infection rates between the interventional and non-interventional groups （X2 = 0. 526, 1. 441, 0. 360, P 〉 0.05）. Conclusions ： The number of times of miscarriage and miscarriage is the risk factor of the preclinical placenta. The intervention of combined balloon balloon filling can shorten the treatment time and reduce the intraoperative blood loss.

关 键 词：凶险性前置胎盘 胎盘植入 原因分析 介入治疗 

分 类 号：R714.2[医药卫生—妇产科学]