169例未足月胎膜早破治疗进展分析

目的：探讨未足月胎膜早破(PPROM)的治疗。方法整群选取该院2010年1月—2016年1月收治的169例PPROM孕妇进行分析，按孕周分为A组(28~31+6周)43例、B组(32~34+6周)59例、C组(35~36+6周)67例，分析原因、分娩方式和围产儿情况。结果 PPROM发生原因阴道炎(36.7%)，人工流产史(11.2%)，胎位异常(16.6%)；3组分娩方式差异无统计学意义(P>0.05)；C组并发症发生率11.9%明显低于A、B组，差异有统计学意义(P<0.05)。结论对不同孕周PPROM患者进行不同处理，尽可能延长孕期，改善母婴结局。

Analysis of 169 Cases of Premature Rupture of Membranes in the Treatment of Preterm Premature Rupture of Membranes

Objective To Treatment of PPROM. Methods Group selection analysis of 169 cases of PPROM pregnant women admitted to our department in January 2010 —January 2016, According to gestational week divided into A group (28~31+6 weeks) 43 cases, Group B(32~34+6 weeks) in 59 cases, Group C(35~36+6 weeks) in 67 cases, Analysis of causes, modes of delivery and perinatal infant. Results PPROM causes vaginitis(36.7%), Induced abortion (11.2%), Fetal abnormalities (16.6%);There was no statistical difference between the 3 groups (P> 0.05); The incidence of complications in group C was signifi-cantly lower than that in group A and group B (P<0.05). The difference was statistically srqnificant. Conclusion Different treatment for PPROM patients in different gestational weeks, As far as possible to extend the pregnancy, Improve maternal and infant outcomes.