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植入性与非植入性凶险型前置胎盘120例临床分析
引用本文:林莉,郭晓辉,胡芷洋. 植入性与非植入性凶险型前置胎盘120例临床分析[J]. 临床和实验医学杂志, 2013, 12(7): 539-540
作者姓名:林莉  郭晓辉  胡芷洋
作者单位:暨南大学附属第二临床医院深圳市人民医院产科 广东 深圳518020
摘    要:目的分析植入性凶险型前置胎盘对孕产妇的危害性,提高对植入性凶险型前置胎盘的认识和重视。方法对25例植入性凶险型前置胎盘与95例非植入性前置胎盘的病例进行对比分析。结果中央性前置胎盘合并植入者达43.8%,植入组产后出血率、产后出血量及子宫切除率与非植入组对比有显著性差异(P<0.01)。结论凶险型前置胎盘孕妇产前应明确有无胎盘植入,应做好术中及术后出血的抢救措施,以保证孕产妇生命安全。

关 键 词:凶险型前置胎盘  前置胎盘伴植入  产后出血  子宫切除

Clinical analysis of 120 cases of pernicious placenta previa with and without placenta accrete
LIN Li , GUO Xiao-hui , HU Zhi-yang. Clinical analysis of 120 cases of pernicious placenta previa with and without placenta accrete[J]. Journal of Clinical and Experimental Medicine, 2013, 12(7): 539-540
Authors:LIN Li    GUO Xiao-hui    HU Zhi-yang
Affiliation:LIN Li, GUO Xiao - hui, HU Zhi - yang. (Department of Obstetrics, The Second Clinical Medical College of Jinan ,Shertzhen People's Hospital, Shenzhen Guangdong 518020, China.)
Abstract:Objective To analysis the complications of pernicious placenta previa with placenta accreta. Methods Retrospective analysis of pernicious placenta cases of previa with and without placenta acereta was performed. Results A total of 43.8 % total pernicious placenta previa cases were complicated with placenta accreta. Compared with non - acereta group, the accreta group had higher chance of postpartum hemorrhage, and risk of hysterectomy ( P 〈 0.01 ). Conclusion The risk of placenta acereta should he considered in prenatal care for cases with pernicious pla- centa previa, and prophylaxic management is recommended to prevent hemorrhage.
Keywords:Pernicious placenta previa  Placenta praevia accrete  Postpartum hemorrenhage  Hysterectomy
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