绒毛膜下血肿不良妊娠结局影响因素分析  

Influential factors of adverse pregnancy outcome in women with subchorionic hematoma

作　　者：古力斯坦·卡迪尔 齐宝文[1] 刘焱[1] 隋霜 何惠丽[1] Gulisitan Kadir;Qi Baowen;Liu Yan;Sui Shuang;He Huili(Department of Ultrasonography,the People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,Xinjiang Uygur Autonomous Region,China;Department of Obstetrics,the People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆维吾尔自治区人民医院超声科,乌鲁木齐830001 [2]新疆维吾尔自治区人民医院产科,乌鲁木齐830001

出　　处：《中国基层医药》2023年第5期688-691,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：新疆维吾尔自治区自然科学基金(2019D01C115)。

摘　　要：目的探讨绒毛膜下血肿发生不良妊娠结局的影响因素。方法收集新疆维吾尔自治区人民医院2017年1月至2020年6月就诊的绒毛膜下血肿患者101例为研究对象,根据是否发生不良妊娠结局,分为对照组和不良妊娠结局组,比较两组流行病学特征、B超下血肿特点、妊娠结局。结果对照组、不良妊娠结局组使用辅助生育技术例数分别为6例(8.0%)、8例(30.7%),两组差异有统计学意义(χ^(2)=8.38,P=0.004);不良妊娠结局组血肿体积为(4.12±0.61)mL,对照组血肿体积为(6.36±0.87)mL,两组差异有统计学意义(t=6.73,P=0.009);对照组、不良妊娠结局组有产科合并症分别为11例(14.7%)、16例(61.5%),两组差异有统计学意义(χ^(2)=21.66,P=0.001);对照组、不良妊娠结局组血肿位于胎盘边缘的患者发生不良妊娠结局分别为15例(20.0%)、12例(46.2%),两组差异有统计学意义(χ^(2)=-4.81,P=0.001)。结论使用辅助生育技术妊娠、有产科合并症、血肿位于胎盘边缘的绒毛下血肿患者更容易发生流产,应积极治疗原发病,警惕合并胎盘早剥的发生。Objective To investigate the influential factors of adverse pregnancy outcomes in women with subchorionic hematoma.Methods A total of 101 women with subchorionic hematoma who received treatment in the People's Hospital of Xinjiang Uygur Autonomous Region from January 2017 to June 2020 were included in this study.They were divided into a control group and an adverse pregnancy outcome group according to whether there was an adverse pregnancy outcome.The epidemiological characteristics,hematoma characteristics observed on ultrasound images,and pregnancy outcomes were compared between the two groups.Results There was no significant difference in the number of women who used assisted reproductive technology between the control and adverse pregnancy outcome groups[6(8.0%)vs.8(30.7%),χ^(2)=8.38,P=0.004].There was a significant difference in hematoma volume between adverse pregnancy outcome and control groups[(4.12±0.61)mL vs.(6.36±0.87)mL,t=6.73,P=0.009].There was a significant difference in the number of patients who had obstetric complications between control and adverse pregnancy outcome groups[11(14.7%)vs.16(61.5%),χ^(2)=21.66,P=0.001].There was a significant difference in the number of patients who had hematomas located at the edge of the placenta between the control and adverse pregnancy outcome groups[15(20.0%)vs.12(46.2%),χ^(2)=-4.81,P=0.001].Conclusion Women who use assisted reproductive technology for pregnancy,have obstetric complications,or have a subchorionic hematoma with hematoma at the edge of the placenta are more likely to experience a miscarriage.Therefore,women of childbearing age should actively treat the primary disease and be alert to the occurrence of placental abruption.

关 键 词：血肿 绒毛膜 妊娠结局 生殖技术 辅助 产科合并症 胎盘 胎盘早剥 影响因素分析 

分 类 号：R714.2[医药卫生—妇产科学]