论文部分内容阅读
目的分析凶险性前置胎盘的临床特点,探讨其治疗方法。方法对41例凶险型前置胎盘患者(观察组)的临床资料进行分析,并与258例普通型前置胎盘患者(对照组)进行比较。结果观察组手术时间、产后出血量均多于对照组(P均<0.05);观察组产后出血、胎盘植入、弥漫性血管内凝血(DIC)、子宫切除、输血发生率均高于对照组(P均<0.05)。观察组及对照组术中确诊胎盘植入分别为13例、11例,两组成功保留子宫,术后恢复良好,无并发症发生。结论与普通型前置胎盘相比,凶险型前置胎盘孕产妇的产后出血量、输血量及DIC发生率、子宫切除率明显升高,应明确胎盘位置及是否有植入,做好术中及产后出血抢救措施。
Objective To analyze the clinical features of dangerous placenta previa and discuss its treatment. Methods The clinical data of 41 patients with malignant placenta previa (observation group) were analyzed and compared with 258 patients with common type placenta previa (control group). Results The operation time and the amount of postpartum hemorrhage in the observation group were more than those in the control group (all P <0.05). The incidence of postpartum hemorrhage, placenta accreta, diffuse intravascular coagulation (DIC), hysterectomy and blood transfusion in the observation group were higher than those in the control group (P <0.05). In the observation group and control group, placenta accreta was diagnosed intraoperatively in 13 cases and 11 cases, respectively. Both groups successfully retained the uterus and recovered well after operation without any complication. Conclusions Compared with common type placenta previa, the incidence of postpartum hemorrhage, blood transfusion, DIC and hysterectomy in threatened placenta previa placenta increased obviously. And postpartum hemorrhage rescue measures.