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4种类型前置胎盘妊娠结局分析

Pregnancy outcome analysis of four types of placenta previa
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摘要 目的:探讨前置胎盘的类型、妊娠结局。方法:收治前置胎盘患者136例。按照前置胎盘的类型,将其分为中央性前置胎盘组(n=53)、部分性前置胎盘组(n=16)、边缘性前置胎盘组(n=36)和低置胎盘(n=31)。结果:中央性前置胎盘产前出血量、产后出血量、胎盘植入发生率、子宫切除发生率、早产儿发生率、新生儿窒息率、转儿科率均高于其余3种类型前置胎盘。部分性前置胎盘剖宫产率最高,中央性前置胎盘次之。结论:前置胎盘的妊娠结局与类型密切相关,低置、边缘性前置胎盘可经阴道试产,部分性及中央性前置需行剖宫产。前置胎盘对母婴的危害以中央性、部分性前置胎盘最严重。 Objective:To explore the types of placenta previa and the pregnancy outcome.Methods:According to the types of placenta previa,136 cases of patients with placenta previa were divided into the central placenta previa group(n=53),the partial placenta previa group(n=16),the marginal placenta previa group(n=36) and the low placenta previa group(n=31).Results:The prenatal blood loss,postnatal blood loss,incidence of placenta implantation,incidence of hysterectomy,incidence of preterm infants,neonatal asphyxia rate,pediatric transferation rate of the central placenta previa were higher than the rest three types of placenta previa.The cesarean delivery rate of the partial placenta previa was highest followed by the central placenta previa.Conclusion:The pregnancy outcome of placenta previa was closely related to the types,and the low placenta previa and marginal placenta previa could had trial vaginal production,the partial placenta previa and central placenta previa need cesarean delivery.The harm of the partial placenta previa and central placenta previa to the maternal and infant were most serious.
作者 郑霖
出处 《中国社区医师》 2015年第10期73-74,共2页 Chinese Community Doctors
关键词 前置胎盘 妊娠结局 类型 Placenta previa Pregnancy outcome Type
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参考文献3

  • 1Qiuying Yang,Shi Wen,Karen Phillips,Lawrence Oppenheimer,Douglas Black,Mark Walker.Comparison of Maternal Risk Factors between Placental Abruption and Placenta Previa[J].Amer J Perinatol.2009(04) 被引量:3
  • 2M. Moore,J.P. Morales,T. Sabharwal,E. Oteng-Ntim,G. O’Sullivan.Selective arterial embolisation: a first line measure for obstetric haemorrhage?[J]. International Journal of Obstetric Anesthesia . 2007 (1) 被引量:1
  • 3Patrelli, Tito Silvio,Gizzo, Salvatore,Cosmi, Erich,Carpano, Maria Giovanna,Di Gangi, Stefania,Pedrazzi, Giuseppe,Piantelli, Giovanni,Modena, Alberto Bacchi.Maternal hydration therapy improves the quantity of amniotic fluid and the pregnancy outcome in third-trimester isolated oligohydramnios: A controlled randomized institutional trial. Journal of Ultrasound in Medicine . 2012 被引量:1

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