不同类型凶险性前置胎盘妊娠结局的分析  

Analysis of the placental type on pregnant outcomes of the patients with pernicious placenta previa

作　　者：杨贺勤[1] 周莲娥[1] 王世军[1] YANG Heqin;ZHOU Liane;WANG Shijun(Department of Obstetrics and Gynecology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院妇产科,100053

出　　处：《中国妇产科临床杂志》2022年第6期599-602,共4页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的探讨胎盘类型对于凶险性前置胎盘患者妊娠结局的影响。方法选取2016年1月至2020年12月于首都医科大学宣武医院分娩的前置胎盘患者168例,将其分为中央型凶险性前置胎盘组(中央凶险组,n=23)、非中央型凶险性前置胎盘组(非中央凶险组,n=23)、中央型单纯性前置胎盘组(单纯组,n=63)及非中央型单纯性前置胎盘组(非单纯组,n=59)。比较各组患者的围产期情况。结果中央凶险组与非中央凶险组、单纯组及非单纯组患者胎盘植入发生率[34.78%(8/23)、0.00%(0/23)、15.87%(10/63)和1.69%(1/59)]、输血发生率[39.13%(9/23)、4.35%(1/23)、11.11%(7/63)和10.17%(6/59)]及子宫切除发生率[13.04%(3/23)、0.00%(0/23)、4.76%(3/63)和0.00%(0/59)]比较,差异均有统计学意义(P<0.05)。中央凶险组与非中央凶险组比较,早产发生率高[56.52%(13/23),0.00%(0/23)]、新生儿出生体质量低[(2776.14±570.53)g,(3381.82±500.84)g],差异均有统计学意义(P<0.001)。4组患者新生儿窒息发生率[4.35%(1/23)、4.35%(1/23)、0.00%(0/63)和1.69%(1/59)]比较,差异无统计学意义(P=0.320)。结论胎盘类型影响凶险性前置胎盘患者妊娠结局,中央型凶险性前置胎盘患者围产期风险高。Objective To analyze the effects of placental type on pregnant outcomes of the patients with pernicious placenta previa.Methods Totally 168 patients with placenta previa delivered in Xuanwu Hospital from January,2016 to December,2020 were collected.All the subjects were divided into group of pernicious placenta previa with central placenta previa(PPC,n=23),group of pernicious placenta previa without central placenta previa(non-PPC,n=23),group of simple placenta previa with central placenta previa(SPC,n=63)and group of simple placenta previa without central placenta previa(non-SPC,n=59).The prenatal complications of them were observed and compared.Results There were increased incidences of placenta accreta[34.78%(8/23),0.00%(0/23),15.87%(10/63)and 1.69%(1/59),respectively],blood transfusion[39.13%(9/23),4.35%(1/23),11.11%(7/63)and 10.17%(6/59),respectively]and hysterectomy[13.04%(3/23),0.00%(0/23),4.76%(3/63)and 0.00%(0/59),respectively]in the patients of PPC group,non-PPC,SPC and non-SPC group(P<0.05).The incidence of the premature birth[56.52%(13/23)and 0.00%(0/23),respectively]were higher and the neonatal weights were lower[(2776.14±570.53)g and(3381.82±500.84)g,respectively]in the patients of PPC group compared with those from non-PPC group(P<0.001).However,there was no difference in neonatal asphyxia among the four groups[4.35%(1/23),4.35%(1/23),0.00%(0/63)and 1.69%(1/59),respectively.P=0.320].Conclusions Placenta type affects pregnancy outcome in patients with pernicious placenta previa,and central placenta previa hsa an increased incidence suffer perinatal complications.

关 键 词：凶险性前置胎盘 中央型前置胎盘 胎盘植入 

分 类 号：R714.4[医药卫生—妇产科学]