不同严重程度绒毛膜下血肿孕妇妊娠结局、并发症的差异及流产的影响因素分析  

Difference of Pregnancy Outcomes,Complications and Influencing Factors of Abortion in Pregnant Women with Subchorionic Hematoma of Different Severity

作　　者：黄杰 谈梦琪 陈萌 仝瑞青 Huang Jie;Tan Mengqi;Chen Meng;Tong Ruiqing(The Fourth Affiliated Hospital of Soochow University(Suzhou Dushu Lake Hospital),Suzhou 215000,Jiangsu Province,China)

机构地区：[1]苏州大学附属第四医院(苏州市独墅湖医院),江苏苏州215000

出　　处：《中外医药研究》2024年第31期9-11,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：苏州市科技局生物医药转化医学创新与应用研究(编号:SZM2021016)。

摘　　要：目的:探讨不同严重程度绒毛膜下血肿(SCH)孕妇妊娠结局及孕产期并发症的差异,分析SCH孕妇流产的因素。方法:回顾性分析2020年12月—2023年5月于苏州大学附属第四医院(苏州市独墅湖医院)生殖医学中心就诊的125例SCH孕妇的临床资料,按照血肿体积/妊娠囊体积将孕妇分为A组(轻度SCH,76例)、B组(中度SCH,21例)、C组(重度SCH,28例)。比较三组妊娠结局、孕产期并发症情况,分析SCH孕妇流产的影响因素。结果:C组流产率高于A组,差异有统计学意义(P=0.001)。三组早产率比较,差异无统计学意义(P>0.05);A组足月产率高于C组,差异有统计学意义(P=0.001)。三组子痫前期、胎膜早破、胎盘粘连、产后出血发生率比较,差异无统计学意义(P>0.05)。流产孕妇年龄≥30岁、中重度SCH占比高于未流产孕妇(P<0.05)。年龄≥30岁及中重度SCH是SCH孕妇流产的高危因素(P<0.05)。结论:孕早期合并重度SCH较轻度SCH更易发生流产,不利于足月妊娠。年龄≥30岁和中重度SCH是导致SCH孕妇流产的高危因素。Objective:To investigate the difference of pregnancy outcome and perinatal complications in pregnant women with subchorionic hematoma(SCH)of different severity,and analyze the factors of abortion in SCH pregnant women.Methods:The clinical data of one hundred and twenty-five SCH pregnant women who were admitted to the Reproductive Medicine Center of the Fourth Affiliated Hospital of Soochow University(Suzhou Dushu Lake Hospital)from December 2020 to May 2023 were retrospectively analyzed.Pregnant women were divided into group A(mild SCH,76 cases),group B(moderate SCH,21 cases)and group C(severe SCH,28 cases)according to hematoma volume/gestating sac volume.The pregnancy outcome and perinatal complications of the three groups were compared,and the influencing factors of abortion in SCH pregnant women were analyzed.Results:The abortion rate in group C was higher than that in group A,and the difference was statistically significant(P=0.001).There was no significant difference in preterm birth rate among the three groups(P>0.05);the term birth rate of group A was higher than that of group C,and the difference was statistically significant(P=0.001).There was no significant difference in the incidence of preeclampsia,premature rupture of membranes,placental adhesion and postpartum hemorrhage among the three groups(P>0.05).The proportion of SCH in pregnant women aged≥30 years and moderate to severe was higher than that in pregnant women without abortion(P<0.05);age≥30 years old and moderate to severe SCH were high risk factors for abortion in SCH pregnant women(P<0.05).Conclusion:Severe SCH in early pregnancy is more likely to cause abortion than mild SCH,which is not conducive to full-term pregnancy.Age≥30 years and moderate to severe SCH are risk factors for abortion in SCH pregnant women.

关 键 词：绒毛膜下血肿 妊娠结局 孕产期并发症 流产 

分 类 号：R714[医药卫生—妇产科学]