介入治疗用于凶险性前置胎盘临床分析

目的：分析介入治疗用于凶险性前置胎盘临床效果。方法回顾性分析2011年1月至2013年6月我院共收治24892例分娩孕妇的临床资料。结果在凶险性前置胎盘及胎盘植入的发生率方面，孕周≥37周的孕妇明显比〈37周的孕妇低，中央型前置胎盘孕妇的发生率明显比部分型和边缘型孕妇高，妊娠次数≥3次的孕妇的发生率明显比妊娠次数为1次、2次的孕妇高（P〈0．05）；凶险性前置胎盘及胎盘植入患者经介入治疗后的弥散性血管内凝血（DIC）、子宫切除、产后出血＆gt;2000ml、产褥感染、早产、新生儿窒息、新生儿死亡发生率均明显比非介入治疗低（P〈0．05）。结论介入治疗用于凶险性前置胎盘的临床效果良好，值得推广。

Clinical Analysis of Intravascular Coagulation Application in Pernicious Placenta previa Treatment

Objective To analysis the clinical effect of interventional therapy in pernicious placenta previa treatment. Methods Retrospective analysis of 24892 parturient women clinical data in Chengdu Women’s＆amp;Children’s Central Hospital from January 2011 to June 2012. Results The incidence of pernicious placenta previa and placenta increta is lower in those parturient women with delivery gestational age greater than or equal to 37 than those parturient women with delivery gestational age less than 37. The incidence of central type of placenta previa is higher than that of partial placenta praevia and marginal placenta previa （P〈0. 05）. The incidence of pernicious placenta previa and placenta increta is higher in those parturient women with pregnancy times more than 2 than those parturient women with pregnancy times less or equal to 2（P〈0. 05）. The incidence of disseminated intravascular coagulation, hysterectomy, postpartum hemorrhage more than 2000ml, puerperal infection, premature delivery, neonatal asphyxia, neonatal death of interventional therapy group is lower than that of traditional therapy group（P〈0. 05）. Conclusion Interventional therapy is an useful method coping with pernicious placenta previa and placenta increta, it has ignificant curative effect and it is worth popularizing.