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目的:探讨晚期妊娠凶险型前置胎盘的发病特点和妊娠结局,提高对该病的认识。方法:将本院收治的40例晚期妊娠凶险型前置胎盘患者列为A组,另选择同期住院60例普通型前置胎盘患者作为B组,比较并分析两组患者的临床资料。结果:两组患者前置胎盘分型比较差异无统计学意义(P>0.05);A组胎盘植入、产后出血率、术中出血量、子宫切除率及输血率均明显高于B组(P<0.05或P<0.01);A组新生儿中早产儿、Apgar评分<7分及死亡率稍高于B组,出生体重稍低于B组,但差异均无统计学意义(P>0.05)。结论:晚期妊娠凶险型前置胎盘对产妇和新生儿有很大威胁,产科医生要采取多种手段降低剖宫产率,减少晚期妊娠凶险型前置胎盘的发生。
Objective: To investigate the incidence of dangerous placenta previa placenta in pregnancy and pregnancy outcome, improve the understanding of the disease. Methods: Forty patients with advanced placentamal placenta previa who were treated in our hospital were enrolled as group A. Sixty patients with common placenta previa were enrolled as group B. The clinical data of two groups were compared and analyzed. Results: There was no significant difference in placentation between the two groups (P> 0.05). The placenta accreta, the rate of postpartum hemorrhage, intraoperative blood loss, hysterectomy and blood transfusion in group A were significantly higher than those in group B P <0.05 or P <0.01). Apgar score <7 and neonatal preterm infants in group A were slightly higher than those in group B, and their birth weights were slightly lower than those in group B, but the differences were not statistically significant (P> 0.05 ). Conclusion: The threatened placenta previa in late pregnancy poses a great threat to maternal and newborn babies. Obstetricians should take various measures to reduce the rate of cesarean section and reduce the risk of plague of placenta previa in late pregnancy.