检验医学与临床Issue(24)：3653-3654,2.DOI:10.3969/j.issn.1672-9455.2015.24.016
凶险性前置胎盘92例临床分析
Clinical analysis of 92 cases of pernicious placenta previa
摘要
Abstract
Objective To explore the relationship of pernicious placenta previa with maternal age and the times of abortion ,as well as the diagnosis and perioperative management of pernicious placenta previa .Methods 92 cases of pernicious placenta previa (observation group) and 131 cases of non‐pernicious placenta previa (control group) were selected .The maternal ages and times of abortion of two groups were compared ,and the diagnosis ,perinatal treat‐ment ,and pregnancy outcome of pernicious placenta previa were analyzed .Results The ratios of women with ad‐vanced maternal ages (≥35 years old) were not statistically different between two groups (P>0 .05) .In observation group ,the ratio of women who aborted twice or more was significantly higher than control group (P<0 .05) .The sensitivity of ultrasound in the diagnosis of placenta implantation was 63 .83% .The specificity of MRI was 100 .00% .In observation group ,the incidence of postpartum hemorrhage was 40 .22% ;the hysterectomy rate was 13 .04% ;among the patients complicated with placenta implantation ,the incidence of postpartum hemorrhage was 68 .09% ;there were 4 cases of women with postpartum hemorrhage reserving uteruses via interventional therapy ;and there were 2 cases of women being successfully treated by conservative treatment after interventional therapy ,with their placentas retained after delivery .Conclusion Abortion history plays an important role in the incidence of perni‐cious placenta previa .Ultrasound can be used in the diagnosis of placenta implantation ,and MRI can be used as a sup‐plementary examination .If the conditions permit ,placenta can be reserved by interventional therapy ,otherwise timely hysterectomy should be done to save the lives .关键词
前置胎盘/胎盘植入/产后出血/介入治疗Key words
placenta previa/placenta implantation/postpartum hemorrhage/interventional therapy引用本文复制引用
杨凌云,黄凤华,李家福..凶险性前置胎盘92例临床分析[J].检验医学与临床,2015,(24):3653-3654,2.
