现代医药卫生2016，Vol.32Issue(14)：2123-2125,3.DOI:10.3969/j.issn.1009-5519.2016.14.003
瘢痕子宫再次妊娠并发前置胎盘73例母婴结局分析
Analysis on maternal and fetal outcomes in 73 cases re-pregnant women with cesarean scar uterus complicating placenta previa
摘要
Abstract
Objective To explore the maternal and fetal perioperative outcomes of re-pregnant women with cesarean scar uterus complicating placenta previa and its influential factors. Methods Seventy-three cases of cesarean scar uterus complicat-ing placenta previa delivered in the First Affiliated Hospital of Chongqing Medical University from January 2014 to December 2015 were retrospectively analyzed. The maternal general condition ,intraoperative situation as well as maternal and fetal outcome were compared. Seventy-three pregnant women were grouped according to whether complicating dangerous placenta previa occur-rence and whether previous pregnancy being elective cesarean section. Results (1)The probability of complicating dangerous placenta previa in re-pregnancy women with previous elective cesarean section was higher than that in re-preganat women with ce-sarean section after vaginal trial labor failure,the difference was statistically significant[40.00%(18/45) vs. 28.57%(8/28),P<0.01]. (2)The occurrence rates of placenta implantation,postpartum hemorrhage,hysterectomy,DIC,blood transfusion and poor neona-tal outcomes in the pregnant women with complicating dangerous placenta previa were significantly higher than those in the preg-nant women with non-dangerous placenta previa,the difference was statistically significant(P<0.05). Conclusion Re-pregnant women with cesarean scar uterus are easier to develop placenta previa;re-pregnancy women with previous elective cesarean sec-tion have the high occurrence rates of complicating dangerous placenta previa and poor maternal and neonatal outcomes;strictly mastering the indication of first cesarean section is the key to reduce the poor maternal and neonatal outcomes of re-pregnancy.关键词
前置胎盘/瘢痕/子宫/剖宫产术/妊娠结局Key words
Placenta previa/Cicatrix/Uterus/Cesarean section/Pregnancy outcome引用本文复制引用
马红柳,罗欣,漆洪波,彭方亮..瘢痕子宫再次妊娠并发前置胎盘73例母婴结局分析[J].现代医药卫生,2016,32(14):2123-2125,3.基金项目
国家自然科学基金资助项目 （）
