摘要
目的探讨疤痕子宫合并前置胎盘产妇的妊娠结局,并分析产妇预后。方法选取2015年2月至2018年5月西安航天总医院产科收治的疤痕子宫合并前置胎盘产妇54例为研究组,另选取同时期单纯前置胎盘的产妇39例为对照组,比较两组产妇的妊娠结局,以及产妇产后出血、休克、子宫切除率、血管内凝血的发生率。结果研究组产妇的新生儿早产、胎儿窘迫、新生儿窒息的发生率分别为57.41%、20.37%、22.22%,明显高于对照组的12.82%、7.69%、10.26%,差异均有统计学意义(P<0.05);研究组产妇产后出血、休克、子宫切除率及血管内凝血发生率分别为42.59%、18.52%、16.67%、22.22%,明显高于对照组的15.38%、5.13%、5.13%、2.56%,差异均有统计学意义(P<0.05)。结论疤痕子宫合并前置胎盘产妇不良妊娠结局发生率显著升高,且产妇预后较差,因此应制定相应干预措施,以改善母婴结局。
Objective To investigate the pregnancy outcome of scarred uterus with placenta previa, and to analyze the prognosis of pregnant women. Methods A total of 54 patients of scarred uterus with placenta previa were selected as the study group from February 2015 to May 2018 in Department of Obstetrics, Xi’an Aerospace General Hospital, and 39 cases of placenta previa alone in the same period were selected as the control group. The pregnancy outcomes, postpartum hemorrhage, shock, hysterectomy rate and intravascular coagulation rate were compared between the two groups. Results The incidences of premature birth, fetal distress, and neonatal asphyxia in the study group were 57.41%, 20.37%, and 22.22%, respectively, which were significantly higher than 12.82%,7.69%, and 10.26% in the control group(P<0.05). The incidences of postpartum hemorrhage, shock, hysterectomy,and intravascular coagulation in the study group were 42.59%, 18.52%, 16.67%, and 22.22%, respectively, which were significantly higher than 5.38%, 5.13%, 5.13%, and 2.56% in the control group(P<0.05). Conclusion The incidence of adverse pregnancy outcomes in scarred uterus with placenta previa is significantly higher, and the prognosis of pregnant women is poor. Therefore, appropriate interventions should be formulated to improve maternal and infant outcomes.
作者
孙雅琳
付纯
SUN Ya-lin;FU Chun(Department of Obstetrics, Xi'an Aerospace General Hospital, Xi'an 710100, Shaanxi, CHINA)
出处
《海南医学》
CAS
2019年第5期604-606,共3页
Hainan Medical Journal
基金
国家自然科学基金(编号:81672339)
关键词
疤痕子宫
前置胎盘
妊娠结局
预后
妊娠
Scarred uterus
Placenta previa
Pregnancy outcome
Prognosis
Pregnancy
