胎盘植入诊治的临床效果分析.PDFVIP

床 研究 医学信息2019 年5 月第32 卷第10 期 Medical Information May. 2019 Vol. 32 No.10 盘植入诊治的临床效果分析 刘晶晶 王得玲 渊天津市第一中心医院产科 天津 300192冤 摘要 目的 探讨胎盘植入的高危发病因素尧诊断及治疗遥 方法 选择2013 年1 月~2018 年12 月于天津市第一中心医院经手术 确诊的26 例胎盘植入患者作为研究对象 收集患者的年龄尧孕次产次尧前次分娩方式及时间尧术前检查方式尧术中出血量尧止血 方式尧胎盘植入部位尧终止妊娠时间尧胎儿Apgar 1 min 评分等临床信息进行分析遥结果 26 例患者中 共22 例中央型前置胎盘 20 例合并既往剖宫产 曰超声多普勒与磁共振诊断胎盘植入的准确性比较 差异无统计学意义渊 =0.346冤曰与术前双侧子宫动 脉栓塞组相比 双侧髂内动脉球囊预置组的妊娠终止时间延长渊 =0.022冤 新生儿窒息情况减轻渊 =0.000冤 出血量无明显增加 渊 =0.194冤遥 结论 胎盘植入主要发生于中央型前置胎盘患者 既往剖宫产 为其高危因素曰超声多普勒诊断胎盘植入的准确率 高 可作为胎盘植入的常规诊断方法曰术前双侧髂内动脉预置球囊可明显减少术中出血 推迟妊娠终止时间 提高新生儿质量遥 关键词 胎盘植入曰凶险性前置胎盘曰剖宫产 曰髂内动脉曰球囊 中图分类号 R714.2 文献标识码 A DOI:10.3969/j .issn.1006-1959.2019.10.040 文章编号 1006-1959渊2019冤10-0122-02 Clinical Analysis of Diagnosis and Treatment of Placenta Accreta LIU Jing-j ing,WANG De-ling (Department of Obstetrics,Tianj in First Central Hospital,Tianj in 300192,China) Abstract ：Obj ective To investigate the high-risk factors, diagnosis and treatment of placenta accreta.Methods 26 patients with placenta-preserved patients who were diagnosed in the First Central Hospital of Tianj in from January 2013 to December 2018 were selected as subje cts. The age, the second trimester, the previous delivery method and time were collected. The clinical information such as pre -examination, intraoperative blood loss, hemostasis, placenta implantation, termination of pregnancy, and fetal Apgar 1 min score were statistically analyzed.Results Of the 26 patients, 22 had a central placenta previa, and 20 had a history of previous cesarean section. The accuracy of ultrasound Doppler and magnetic resonance diagnosis of placenta was not statistically significant ( =0.346); Comp