【摘要】：目的分析前置胎盤合并胎盤植入患者的臨床特點(diǎn)。方法前置胎盤患者324例,其中合并胎盤植入38例(研究組),未合并胎盤植入286例(對(duì)照組)。觀察前置胎盤類型與胎盤植入的關(guān)系,分析孕產(chǎn)次數(shù)、分娩方式、分娩孕周、分娩結(jié)局(產(chǎn)后出血、全/半切子宮、早產(chǎn))對(duì)前置胎盤合并胎盤植入的影響。結(jié)果研究組孕產(chǎn)次數(shù)≥2次的產(chǎn)婦比率大于對(duì)照組(P0.05或0.01),2、3次剖宮產(chǎn)產(chǎn)婦比率大于對(duì)照組(P均0.05)。研究組產(chǎn)后出血比率、出血量及全/半切子宮比率均大于對(duì)照組(P0.05或0.01)。結(jié)論前置胎盤產(chǎn)婦孕產(chǎn)次數(shù)增加、剖宮產(chǎn)等是合并胎盤植入的危險(xiǎn)因素,胎盤植入增加前置胎盤孕婦子宮切除概率及產(chǎn)后出血風(fēng)險(xiǎn)。
[Abstract]:Objective to analyze the clinical features of placenta previa with placenta accreta. Methods 324 patients with placenta previa, including 38 patients with placenta accreta (study group) and 286 patients without placenta accreta (control group). To observe the relationship between placenta previa type and placenta accreta, to analyze the influence of pregnancy times, delivery mode, delivery weeks and delivery outcome (postpartum hemorrhage, total / half hysterectomy, preterm delivery) on placenta previa with placenta accreta. Results the ratio of pregnant women in the study group was higher than that in the control group (P0.05 or 0.01), and the ratio of 2 or 3 cesarean sections in the study group was higher than that in the control group (P 0.05). The rates of postpartum hemorrhage, bleeding and total / hemiectomized uterus in the study group were higher than those in the control group (P0.05 or 0.01). Conclusion pregnant women with placenta previa and cesarean section are the risk factors of placenta accreta. Placenta accreta increases the probability of hysterectomy and the risk of postpartum hemorrhage in placenta previa.
【作者單位】： 天津市中心婦產(chǎn)科醫(yī)院;
【分類號(hào)】：R714.2

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