论文部分内容阅读
目的:分析超声诊断不同类型前置胎盘与妊娠结局的相关关系。方法:选取罗定市妇幼保健计划生育服务中心2016年6月至2017年3月收治的前置胎盘产妇共40例,根据超声诊断不同分为经腹部超声诊断组和经会阴部超声诊断组,根据胎盘类型的不同分为完全性前置胎盘组、部分性前置胎盘组和边缘性前置胎盘组,对比分析不同组别超声诊断情况、妊娠结局和新生儿评分(Apgar)。结果:在不同超声诊出情况对比中,经腹部超声诊断前置胎盘产妇的诊出率为77.5%,经会阴部超声诊断前置胎盘产妇的诊出率为97.5%,经会阴部超声诊断前置胎盘的诊出率显著高于经腹部超声诊断,差异具有统计学意义(P<0.05),在不同类型前置胎盘的妊娠结局对比中,完全性前置胎盘产妇在胎盘植入、胎盘粘连、产后出血、子宫切除等妊娠结局中,均显著高于部分性前置胎盘产妇和边缘性前置胎盘产妇,在不同类型前置胎盘新生儿Apgar评分对比中,完全性前置胎盘产妇的新生儿Apgar评分明显低于部分性前置胎盘产妇和边缘性前置胎盘产妇,差异具有统计学意义(P<0.05)。结论:经会阴部超声诊断的诊出率更高,能够更加准确的诊断出不同类型的前置胎盘,完全性前置胎盘产妇的妊娠结局最差,新生儿Apgar评分最低,应重点加强对完全性前置胎盘产妇的护理。
OBJECTIVE: To analyze the correlation between different types of placenta previa and pregnancy outcomes by ultrasound. Methods: A total of 40 cases of placenta previa in Luodong Maternal and Child Health Care Family Planning Service Center from June 2016 to March 2017 were divided into two groups: transabdominal ultrasound group and perineal ultrasound group, According to the type of placenta, the patients were divided into complete placenta previa, partial placenta previa and marginal placenta previa. Ultrasound diagnosis, pregnancy outcome and neonatal score (Apgar) were compared among different groups. Results: In the comparison of different ultrasound diagnosis, the diagnosis rate of transplacental diagnosis of placenta previa was 77.5%, the diagnosis rate of transplacental ultrasound diagnosis of placenta previa was 97.5%, the perineal ultrasound before diagnosis The diagnosis rate of placenta accreta was significantly higher than that of transabdominal ultrasound, the difference was statistically significant (P <0.05). In the comparison of pregnancy outcomes of different types of placenta previa, the complete placenta previa in placenta accreta, placenta accreta , Postpartum hemorrhage, hysterectomy and other pregnancy outcomes were significantly higher than the partial pre-placental maternal and marginal placenta previa. In different types of pre-placental Apgar score comparison, the complete pre-placenta maternal newborn The Apgar score was significantly lower in the partial prepregnancy placenta and marginal placenta previa, the difference was statistically significant (P <0.05). Conclusion: The diagnosis of perineal ultrasound diagnosis rate is higher, more accurate diagnosis of different types of placenta previa, complete placenta previa the worst pregnancy outcome, neonatal Apgar score lowest, should focus on the complete Prenatal placenta maternal care.