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前置胎盘合并胎盘植入的临床分析

卢培玲 辛崇敏 徐宝兰

中国妇幼健康研究2011,Vol.22Issue(4):464-467,4.
中国妇幼健康研究2011,Vol.22Issue(4):464-467,4.DOI:10.3969/j.issn.1673-5293.2011.04.025

前置胎盘合并胎盘植入的临床分析

Clinical analysis of placenta previa complicated with placenta accreta

卢培玲 1辛崇敏 1徐宝兰1

作者信息

  • 1. 日照市中医医院,山东,日照,276800
  • 折叠

摘要

Abstract

Objective To investigate the risk factors, clinical features, diagnosis and treatment of placenta previa complicated with placenta accrete. Methods 12 cases of placenta previa complicated with placenta accreta diagnosed in Rizhao Hospital of Traditional Chinese Medicine in recent 4 years were analyzed. Results Among 8 964 deliveries, the incidence of placenta previa was 0.97% ( 87/8 964 ). All of 87 cases of placenta previa were multiple pregnancy women. Multipara occupied 58.62%( 51/87 ) and elder gravida occupied 65.52% ( 57/87 ). The incidence of placenta previa complicated with placenta accreta was 0.13%( 12/8 964 ), occupying 13.79%( 12/87 ) of the placenta previa. Patients with previous cesarean section histrory accounted for 83.33%( 10/12 ). There were 3 cases of dangerous placenta previa complicated with placenta accreta at original uterine incesion scar, occuping 25.00% ( 3/12 ). The rate of previous cesarean section histroy in the group with placenta accreta was obviously higher than that in control group ( X2 = 17. 789, P < 0.01 ). Conclusion The occurrence of placenta previa combined with placenta accrete, which is closely related with scanred uterus, is increasing with the increase of rate of cesarean section, so we should pay attention to early diagnosis and reasonable treatment so as to improve the maternal and infant outcomes.

关键词

前置胎盘/胎盘植入/瘢痕子宫/治疗

Key words

placenta previa/ placenta accreta/ scarred uterus/ treatment

分类

医药卫生

引用本文复制引用

卢培玲,辛崇敏,徐宝兰..前置胎盘合并胎盘植入的临床分析[J].中国妇幼健康研究,2011,22(4):464-467,4.

中国妇幼健康研究

OACSTPCD

1673-5293

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