摘要
目的分析凶险型前置胎盘的危害,探讨其诊断、处理及预防措施,以提高其救治成功率。方法对比在我院分娩的39例凶险型前置胎盘与119例非凶险型前置胎盘的病历资料,分析其临床特点、围术期情况及预后。结果凶险型组发生胎盘植入率为25.64%,平均术中出血(2750±259)mL,子宫切除率为20.13%,均明显高于非凶险型组(P<0.05);平均分娩孕周(32.95±3.81)周,早于非凶险型组(P<0.05)。结论凶险型前置胎盘对孕产妇的危害性很大,应当降低剖宫产率、加强产前诊断、及早发现胎盘植入、提高围术期处理水平,以有效改善母婴预后。
Objective To analyze the harm of dangerous placenta previa, to explore its diagnosis, treatment and pre- ventive measures so as to improve the successful rate of treatment. Methods The medical records of 39 cases of dan- gerous placenta previa and 119 cases of non-dangerous placenta previa in the hospital were compared. The clinical characteristics, perioperative situation and prognosis were analyzed. Results The rate of placenta implantation was 25.64%, the average intraoperative blood loss was（2750±259） mL and the hysterectomy rate was 20.13% in the danger- ous group, which was significantly higher than those in the non-dangerous group（P〈0.05）; the average gestational weeks were （32.95±3.81） weeks, which were earlier than that in the non-dangerous group （P〈0.05）. Conclusion The dangerous placenta previa is very harmful to pregnant women. The Cesarean section rate should be reduced, prenatal diagnosis should be strengthened, placenta implantation should be detected timely, and perioperative treatment level should be improved, in order to effectively improve maternal and child prognosis.
出处
《中国现代医生》
2016年第28期66-68,71,共4页
China Modern Doctor
关键词
凶险型前置胎盘
胎盘植入
剖宫产
产科出血
Dangerous placenta previa
Placenta implantation
Cesarean section
Obstetric hemorrhage
