本文選題：兇險(xiǎn)性前置胎盤 + 胎盤植入��； 參考：《新疆醫(yī)科大學(xué)》2016年碩士論文

【摘要】：目的:探討孕晚期兇險(xiǎn)性前置胎盤患者的臨床特點(diǎn)、母嬰結(jié)局和終止妊娠的治療方案,并分析兇險(xiǎn)性前置胎盤合并胎盤植入的危險(xiǎn)因素。方法:總結(jié)新疆醫(yī)科大學(xué)第一附屬醫(yī)院自2012年6月至2015年5月共收治的49例孕晚期兇險(xiǎn)性前置胎盤病例,按臨床診斷和病理診斷分為胎盤植入組(28人)和非胎盤植入組(21人),對(duì)兩組的臨床特點(diǎn)、母嬰結(jié)局和終止妊娠的治療方案進(jìn)行回顧性分析,并對(duì)兇險(xiǎn)性前置胎盤合并胎盤植入的危險(xiǎn)因素進(jìn)行分析。結(jié)果:2012年6月至2015年5月新疆醫(yī)科大學(xué)第一附屬醫(yī)院兇險(xiǎn)性前置胎盤的發(fā)病率為2.3‰,兇險(xiǎn)性前置胎盤合并胎盤植入的發(fā)病率為1.3‰。植入組和非植入組的年齡及既往妊娠次數(shù)無(wú)明顯差別(P0.05)。植入組與非植入組在既往剖宮產(chǎn)次數(shù)方面比較有統(tǒng)計(jì)學(xué)意義(P0.05),Logistics回歸分析顯示,既往剖宮產(chǎn)史(OR=3.981,P=0.031,95%CI:0.996~15.414)為兇險(xiǎn)性前置胎盤合并胎盤植入的獨(dú)立危險(xiǎn)因素。植入組較非植入組產(chǎn)時(shí)產(chǎn)后出血量大,切除子宮例數(shù)多、術(shù)后重癥醫(yī)學(xué)科轉(zhuǎn)入率高、體溫異常人數(shù)多、住院天數(shù)長(zhǎng)(P0.05),并易合并膀胱損傷。植入組與非植入組在新生兒體重、1分鐘Apgar評(píng)分等方面比較均無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:兇險(xiǎn)性前置胎盤合并胎盤植入更易發(fā)生子宮切除、產(chǎn)后出血、入住重癥醫(yī)學(xué)科、感染及住院天數(shù)的延長(zhǎng)。既往剖宮產(chǎn)史為兇險(xiǎn)性前置胎盤合并胎盤植入的獨(dú)立危險(xiǎn)因素。
[Abstract]:Objective: to investigate the clinical features, maternal and child outcomes and termination of pregnancy in patients with dangerous placenta previa in late pregnancy, and to analyze the risk factors of placenta previa associated with placenta accreta. Methods: a total of 49 cases of dangerous placenta previa in the third trimester of pregnancy in the first affiliated Hospital of Xinjiang Medical University from June 2012 to May 2015 were summarized. According to the clinical diagnosis and pathological diagnosis, the placenta accreta group (28 cases) and the non-placental accreta group (21 cases) were divided into two groups. The risk factors of placenta previa associated with placenta accreta were analyzed. Results: from June 2012 to May 2015, the incidence of dangerous placenta previa in the first affiliated hospital of Xinjiang Medical University was 2.3 鈥，

本文編號(hào)：2072006