前置胎盘、胎盘粘连、胎盘植入和人工流产关系.docVIP

前置胎盘、胎盘粘连、胎盘植入和人工流产关系[摘要] 目的 探讨前置胎盘、胎盘植入、胎盘粘连与人工流产的关系。 方法 对在本院分娩的4 010例患者进行回顾性分析。 结果 4 010例分娩患者中，胎盘粘连、胎盘植入、前置胎盘发病率为10.3%（414/4 010），1 628例无人工流产史者中，总发病率为3.6%，2 382例有人工流产史者总发病率为14.9%，差异有统计学意义（P 0.05）。随着人工流产次数的增加，胎盘粘连、胎盘植入、前置胎盘发病率呈明显上升趋势（P 0.05），胎盘粘连发病率最高。产后出血发生率为66.9%，胎盘植入者产后出血发生率最高。 结论 前置胎盘、胎盘植入、胎盘粘连发病率与人工流产次数成正比，均易导致产后出血。 [关键词] 人工流产；胎盘粘连；前置胎盘；胎盘植入 [中图分类号] R169.42 [文献标识码] C [文章编号] 1674—4721（2012）09（c）—0166—02 Relation of placenta previa， placenta adhesion and placenta implantation with artificial abortion GU Danting Chinese Medicine Hospital of Wuhua County in Meizhou City of Guangdong Province， Wuhua 514400， China [Abstract] Objective To explore the relation of placenta previa， placenta implantation and placenta adhesion with artificial abortion. Methods A total of 4 010 pregnant patients were analyzed retrospectively. Results The incidences of placenta adhesion， placenta implantation and placenta previa in 4 010 cases were 10.3% （414/4 010）， which in 1 628 cases without artificial abortion history was 3.6% and which in 2 382 cases with artificial abortion history was 14.9%， the difference was statistically significant （P 0.05）. Along with the increasing of artificial abortion sessions， the incidences of placenta adhesion， placenta implantation and placenta previa significantly increased （P 0.05）. The incidence of placental adherence was highest. The incidence of postpartum hemorrhage was 66.9%， which was highest in placenta implantation patients. Conclusion The incidences of placenta adhesion， placenta implantation and placenta previa has a positive relation with artificial abortion history， which could induce the occurrence of postpartum hemorrhage. [Key words] Artificial abortion； Placenta adhesion； Placenta previa； Placenta implantation 胎盘粘连、胎盘植入、前置胎盘是妊娠与分娩中常见的并发症，是导致产后出血的主要原因之一，威胁孕产妇的生命健康[1]。近年来，随着人工流产术的增加，胎盘粘连、胎盘植入、前置胎盘的发病率亦有升高趋势。本文对本院4 010例分娩患者进行回顾性分析，探讨前置胎盘、胎盘植入、胎盘粘连发病率与人工流产次数的相关性，现报道如下： 1资料与方法 1.1一般资料 本院2008年2月～2011年11月分娩患者共4 010例，