108例凶险性前置胎盘疾病临床分析.docVIP

108例凶险性前置胎盘疾病的临床分析 　　摘要：目的：探讨凶险性前置胎盘的诊断和危害，并分析凶险性前置胎盘的防治措施。方法：回顾性分析，选取我院2004年7月至2014年7月间108例凶险性前置胎盘患者作为研究对象，同时选取同期108例非凶险性前置胎盘患者为对照组，对比两组患者的产时出血量、子宫切除、胎盘植入等临床情况。结果：研究组患者产时平均出血量为（2987.95±359.37）ml，对照组的产时平均出血量为（897.69±279.58）ml，研究组的产时平均出血量明显多于对照组（P0.05）；研究组并发胎盘植入共35例，子宫切除25例，对照组并发胎盘植入2例，子宫切除2例，可见研究组并发胎盘植入率与子宫切除率均明显高于对照组，两组比较差异具有统计学意义（P0.05）。结论：早期诊断和治疗，及时剖宫取胎术终止妊娠是改善凶险性前置胎盘患者妊娠结局的重点。 　　关键词：凶险性；前置胎盘；临床分析 　　Abstract：objective： to study the diagnosis and harm of dangerous placenta previa ， and analyze the disaster prevention and control measures of dangerous placenta previa. Selection methods： a retrospective analysis of our hospital in July 2004 to July 2014，108 cases of patients with dangerous placenta previa as the research object，at the same time during the same period of 108 patients with non-dangerous placenta previa were selected as control group，compared two groups of patients with intrapartum blood loss，hysterectomy，placenta increta clinical situations. Results： the patients with team intrapartum mean blood loss was （2987.95 + 359.37） ml，the control of intrapartum mean blood loss was （897.69 + 279.58） ml，the team of intrapartum average blood loss significantly more than the control group （P 0.05）； Hysterectomy group and 35 cases complicated with placenta implantation were 25 cases，control group and 2 cases of placenta increta，uterus resection in 2 cases，visible team concurrent placenta implantation rate and uterus resection rate were significantly higher than that of control group，comparing the two groups statistically significant difference （P 0.05）. Conclusion： early diagnosis and treatment，timely termination of pregancy by cesarean section is the key of improve the outcomes in patients with dangerous placenta previa . 　　Keywords： Dangerous.Placenta previa. Clinical analysis 　　妊娠28周后，胎盘附着于子宫的下段，甚至胎盘下缘达到或者覆盖宫颈内口，其位置低于胎先露部的则被称为前置胎盘。国外研究表明：二次剖宫产史病人发生前置胎盘几率为 4.1%，而三次剖宫产史病人为 22%[1]。此类型称为凶险型前置胎盘。本文主要探讨了凶险性前置胎盘的诊断和危害，并分析凶险性前置胎盘的防治措施。现总结报道如下。 　　1 资料与方法 　　1.1