前置胎盘合并胎盘植入围产期处理的临床预后效果  

Clinical prognostic analysis of perinatal treatment of pregnant women with placenta previa and placenta implantation

作　　者：宋熲 杨卓加[1] SONG Jiong;YANG Zhuoga(Affiliated Hospital of Qinghai University,Xining,Qinghai Province,810000)

机构地区：[1]青海大学附属医院,西宁810000

出　　处：《中国计划生育学杂志》2020年第9期1486-1489,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨前置胎盘合并胎盘植入的发病因素及围产期处理的预后效果。方法:选取2018年1月-2019年6月本院收治的前置胎盘合并胎盘植入患者82例(合并组),单纯前置胎盘82例(单纯组),比例两组临床资料及可能因素,探究围产期处理对预后效果。结果:两组年龄、分娩孕周无差异(P>0.05),孕次、流产≥3次、完全型胎盘前置、子宫瘢痕发生率合并组均高于单纯组,产后出血、剖宫产、失血量、休克以及输血发生率均高于单纯组(均P<0.05),子宫切除发生率、新生儿出生体重、Apgar评分、围产儿死亡两组无差异(P>0.05);合并组82例中产期诊断符合率为95.1%(78/82)。结论:前置胎盘合并胎盘植入会增加产妇产后出血、剖宫产、失血量、休克以及输血发生率,临床对有发生前置胎盘合并胎盘植入的可能因素产妇应采取积极的围产期处理,从而有效改善分娩结局。Objective:To investigate the pathogenic factors of pregnant women with placenta previa and placenta implantation,and to study the prognostic effect of perinatal treatment.Methods:82 pregnant women with placenta previa and placenta implantation were selected in study group,and 82 pregnant women with placenta previa were selected in control group from January 2018 to June 2019.The clinical data and possible factors of women were compared between the two groups.The influence of perinatal treatment on the prognosis were explored.Results:There were no significant different in age and gestational weeks when delivery of women between the two groups(P>0.05).The number of pregnancy and abortion≥3 times,complete placenta previa rate,and uterine scar rate,and the incidences of postpartum hemorrhage,cesarean section,shock,and blood transfusion,and blood loss volume of women in the study group were significant higher than those of women in the control group(all P<0.05).There were no significant different in the incidence of hysterectomy,neonatal birth weight,and Apgar score,perinatal death rate between the two groups(P>0.05).In the study group,the perinatal diagnostic coincidence rate was 95.1%(78/82).Conclusion:Placenta previa combined with placenta implantation will increase the incidences of postpartum hemorrhage,cesarean section,blood loss,shock,and blood transfusion of pregnant women.Positive perinatal management should be adopted in pregnant women with possible placenta previa and placental implantation,so as to effectively improve the outcomes of childbirth.

关 键 词：前置胎盘 胎盘植入 临床预后 

分 类 号：R714.2[医药卫生—妇产科学]