剖宫产至凶险型前置胎盘的临床治疗分析.docVIP

剖宫产至凶险型前置胎盘的临床治疗分析 　　[摘要] 目的 整理该院剖宫产至凶险型前置胎盘孕产妇的临床治疗资料，探讨剖宫产至凶险型前置胎盘孕产妇的治疗效果。方法 整群选取该院2014年1月―2015年1月收治的48例剖宫产至凶险型前置胎盘孕产妇，将其作为研究组，另选48例普通前置胎盘孕产妇作为对照组，比较两组孕产妇的产后出血量以及子宫切除率。结果 研究组孕产妇出现胎盘粘连率为60.41%，对比组孕产妇出现胎盘粘连率为33.33%，两组患者的胎盘粘连发病率差异有统计学意义（P0.05）。结论 剖宫产至凶险型前置胎盘的发病率较低，在术后出血量上明显的高于普通前置胎盘，对出现凶险型前置胎盘的孕产妇宜进行子宫全切治疗，以保证孕产妇的生命安全。 　　[关键词] 剖宫产至凶险型前置胎盘；子宫全切；普通前置胎盘；疗效比较 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0087-02 　　[Abstract] Objective To discuss the treatment effect of pregnant women with pernicious placenta previa caused by caesarean section by sorting out the clinical treatment data of them. Methods 48 cases of pregnant women with pernicious placenta previa caused by caesarean section admitted and treated in our hospital from January 2014 to January 2015 were selected as the research group， 48 cases of pregnant women with common placenta previa were selected as the control group， and the postpartum hemorrhage volumes and hysterectomy rates were compared between the two groups. Results The difference in the morbidity of adherent placenta between the research group and the control group was obvious with statistical significance， （60.41% vs 33.33%）， P0.05. Conclusion The morbidity of pernicious placenta previa caused by caesarean section is lower， and the postoperative hemorrhage volume of it is obviously higher than that of common placenta previa， and we had better treat the pregnant women with pernicious placenta previa caused by caesarean section by total hysterectomy in order to ensure the life safety of them. 　　[Key words] Pernicious placenta previa caused by caesarean section； Total hysterectomy； Common placenta previa； Comparison of curative effect 　　前置胎盘是产科临床较为常见的难产症状，在有既往病史的孕产妇当中的发病率极高，对产妇胎盘植入、产后大出血甚至是子宫切除率有非常大的影响，临床上将剖宫产术后再次妊娠出现的前置胎盘称为凶险型前置胎盘，在我国的发病率逐年升高，这与当前我国孕产妇大量选择应用剖宫产有非常大的关联[1]。凶险型前置胎盘的病情危急，需要临床积极应对，许多孕产妇由于这一疾病失去子宫[2]。该研究整群选取2014年1月―2015年1月收治的96例前置胎盘孕产妇的临床治疗资料进行对比分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　整群选取该院2014年1月―2015年1月所收治的48例剖宫产至凶险型前置胎盘孕产妇将