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瘢痕子宫合并前置胎盘剖宫术后的临床观察
引用本文:刘荣. 瘢痕子宫合并前置胎盘剖宫术后的临床观察[J]. 中外医疗, 2016, 0(18): 51-52. DOI: 10.16662/j.cnki.1674-0742.2016.18.051
作者姓名:刘荣
作者单位:河北省唐山市南堡开发区医院妇产科,河北唐山,063305
摘    要:目的:探讨瘢痕子宫合并前置胎盘剖宫术后的临床特点,为临床诊治提供依据。方法收集2011年1月—2016年1月在该院产科因瘢痕子宫合并前置胎盘而进行剖宫产手术的孕妇及年龄相匹配的无剖宫产史孕妇各50例,分别记录两组孕妇的一般临床资料、妊娠结局和并发症。结果与对照组比,瘢痕子宫合并前置胎盘组具有较高的胎盘植入率(6%vs 26%)、子宫破裂发生率(0% vs 6%)、术后住院时间(6 d vs 9 d)及新生儿窒息发生率(6%vs 23%)和较大的产后出血量(331 mL vs 513 mL),P值均﹤0.05。结论瘢痕子宫合并前置胎盘具有较高的围产期并发症,对母婴危害较大,应引起高度重视。

关 键 词:瘢痕子宫  前置胎盘  妊娠结局和并发症

Clinical Observation of Scar Uterus Combined with Placenta Placenta after Cesarean Section
Abstract:Objective To investigate clinical characteristics of uterine scar placenta previa cesarean and provide the basis for clinical diagnosis and treatment. Methods Convenient selection collected obstetric uterine scar due to placenta previa and cesarean section performed in pregnant women and age-matched no cesarean section control pregnant women 50 cases from January 2011 to January 2016 in our hospital, recorded the general clinical data, pregnancy outcomes and complica-tions. Results Compared with the control group, the uterine scar placenta previa group has a higher rate in placenta accrete (6% vs 26%), the incidence of uterine rupture (0%vs 6%), postoperative hospital stay (6 d vs 9 d)and the incidence of neonatal asphyxia (6% vs 23%) and postpartum hemorrhage volume (331 mL vs 513 mL); all of p values were P﹤0.05. Conclusion Scarred uterus placenta previa has a high perinatal complications and great harm to the mother and child. It should be paid to close attention.
Keywords:Scarred uterus  Placenta previa  Pregnancy outcomes and complications
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