凶险型前置胎盘23例临床分析

目的分析凶险型前置胎盘对孕妇的危害性,提高对凶险型前置胎盘的认识。方法回顾性分析23例凶险型前置胎盘孕妇的临床资料,将其分为植入组8例,非植入组15例进行对比分析。结果胎盘植入组产后出血发生率、产后出血量及子宫切除率与非植入组比较明显增高(P<0.01)。结论植入型凶险型前置胎盘给产妇生理、精神造成巨大伤害。掌握好剖宫产指征从而降低剖宫产率是减少凶险型前置胎盘发生的关键。

Clinical analysis on 23 cases of pernicious placenta previa

Objective To improve the understanding of the pernicious placenta previa by analyzing the harm of the pernicious placenta previa to the pregnant women. Methods Retrospectively analyzed the data from 23 cases with the pernicious placenta previa,8 cases in placenta accreta group and 15 cases in non-placenta accreta group were compared and analyzed. Results The incidence,the amount of postoperative hemorrhage and the incidence of cesarean hysterectomy in placenta accreta group were significant higher than that of non-placenta accreta group(P<0.01). Conclusion Pernicious placenta previa with placenta accreta can cause great physical and mental harm to the pregnant women,mastering cesarean indications correctly to reduce cesarean section rate was the key point of reducing the incidence of pernicious placenta praevia.