摘要
目的分析前置胎盘合并瘢痕子宫对孕产妇及围生儿的危害,提高对前置胎盘合并瘢痕子宫的认识。方法回顾性分析终止妊娠的前置胎盘108例,其中既往有剖宫产史30例(瘢痕子宫组),无剖宫产史78例(非瘢痕子宫组)。结果 108例均行剖宫产术终止妊娠。瘢痕子宫组产后出血量大于非瘢痕子宫组,其胎盘植入、胎盘粘连、子宫切除的发生率均高于非瘢痕子宫组,差异有统计学意义(P<0.05)。瘢痕子宫组新生儿体质量低于非瘢痕子宫组,其早产、胎儿窘迫、新生儿窒息、围生儿死亡均高于非瘢痕子宫组,差异有统计学意义(P<0.05)。结论前置胎盘合并瘢痕子宫明显增加孕产妇及围生儿的并发症和危险性。
Objective To analyze the harm of placenta previa with scarred uterine on mother and neonate,and improve the understanding of it.Methods 108 cases with placent previa from January 2008 to May 2010 in our hospital were analyzed retrospectively,among which there were 30 cases of scarred uterine,78 cases of non-scarred uterine.Results 108 patients were terminated pregnancy through cesarean section.The Postpartum hemorrhage in scarred uterine＇s group was significantly higher than the group of non-scarred uterine（P0.05）.The incidences of placenta accreta,placenta adhesion,hysterectomy were significantly higher than non-scarred uterine group（P0.05）.However the birth weight was significantly lower than non-scarred uterus group（P0.05）.Preterm,fetal distress,neonatal asphyxia,perinatal mortality were significantly higher than non-scarred uterus group（P0.05）.Conclusion Placenta previa with the scarred uterine increased significantly the maternal and perinatal complications and risk.
出处
《安徽医学》
2011年第4期486-487,共2页
Anhui Medical Journal
关键词
前置胎盘
瘢痕子宫
剖宫产
妊娠并发症
Placenta previa
Scarred uterine
Cesarean section
Pregnancy complications
