凶险性前置胎盘并胎盘植入的风险因素及对妊娠结局的影响  

Risk factors of dangerous placenta previa and placenta accreta and its influence on pregnancy

作　　者：黄琼瑜[1] 孙秀秀 肖琳[1] HUANG Qiongyu;SUN Xiuxiu;XIAO Lin(Department of Obstetrics,Xiamen Hospital of Traditional Chinese Medicine,Xiamen,Fujian,361000,China)

机构地区：[1]厦门市中医院产科,福建厦门361000

出　　处：《当代医学》2024年第25期149-152,共4页Contemporary Medicine

摘　　要：目的分析凶险性前置胎盘并胎盘植入的风险因素及对妊娠结局的影响。方法回顾性分析2013年1月至2021年4月厦门市中医院收治的56例凶险性前置胎盘患者的临床资料,统计胎盘植入情况,采用多因素Logistic回归分析孕妇合并胎盘植入的危险因素,比较胎盘植入与无胎盘植入患者的妊娠结局。结果56例凶险性前置胎盘患者中胎盘植入28例,无胎盘植入28例。多因素Logistic回归分析显示,年龄<35岁、剖宫产次数≥2次与流产次数≥2次为凶险性前置胎盘并胎盘植入的独立危险因素(P<0.05)。胎盘植入患者手术时间长于无胎盘植入孕妇,术中出血量多于无胎盘植入患者,产后出血、休克、新生儿窒息发生率均高于无胎盘植入患者,差异有统计学意义(P<0.05);胎盘植入与无胎盘植入患者子宫切除、早产发生率比较差异无统计学意义。结论年龄<35岁、剖宫产次数≥2次、流产次数≥2次为凶险性前置胎盘孕妇合并胎盘植入的独立危险因素。Objective To analyze the risk factors of dangerous placenta previa and placenta accreta and its impact on pregnancy outcomes.Methods The clinical data of 56 patients with dangerous placenta previa admitted to Xiamen Hospital of Traditional Chinese Medicine from January 2013 to April 2021 was retrospective analysed,and the results of placenta accreta were counted,multivariate Logistic regression analysis was used to analyze the risk factors of patients with dangerous placenta and placenta accreta,and the pregnancy outcomes of patients without placenta accreta were compared.Results Among the 56 patients with dangerous placenta previa,28 had placenta accreta and 28 had no placenta accreta.Multivariate Logistic regression analysis showed that the age<35 years,the number of cesarean sections≥2 and the number of miscarriages≥2 were independent risk factors for dangerous placenta previa and placenta accreta(P<0.05).The operation time of patients with placenta accreta was longer than that of pregnant women without placenta accreta,and the amount of intraoperative blood loss was more than that of patients without placenta accreta,and the incidence of postpartum hemorrhage,shock and neonatal asphyxia were higher than those of patients without placenta accreta,and the differences were statistically significant(P<0.05).Conclusion Age<35 years,the number of cesarean sections≥2 and the number of miscarriages≥2 are independent risk factors for pregnant women with dangerous placenta previa and placenta accreta.

关 键 词：凶险性前置胎盘 胎盘植入 风险因素 妊娠结局 影响 

分 类 号：R71[医药卫生—妇产科学]