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172例前置胎盘的妊娠结局分析
引用本文:李艳芳,赵耘,刘浩,李金凤.172例前置胎盘的妊娠结局分析[J].中国妇幼保健,2009,24(10).
作者姓名:李艳芳  赵耘  刘浩  李金凤
作者单位:首都医科大学附属朝阳医院妇产科,北京,100020
摘    要:目的:比较完全性、部分性、边缘性前置胎盘的妊娠结局。方法:回顾性分析10年来的前置胎盘产妇孕期、产时、产后的临床资料。结果:前置胎盘的发生率为0.38%。完全性前置胎盘的比率为33.1%,部分性前置胎盘的比率为45.3%,边缘性前置胎盘为21.5%。完全性前置胎盘的产前出血发生率3组差异无统计学意义;完全性前置胎盘的产后出血发生率和输血率较部分性和边缘性前置胎盘明显增高(P<0.05)。早产发生率无明显不同(P>0.05)。结论:前置胎盘是威胁母儿生命的严重并发症。

关 键 词:前置胎盘  产前出血  产后出血  胎盘植入  剖宫产

Analysis on pregnancy outcomes of 172 women with placenta praevia
Abstract:Objective:To compare pregnancy outcomes of women with complete,partial and marginal placenta praevia.Methods:Clinical data of women with placenta praevia in past 10 year were analyzed retrospectively.Results:The incidence of placenta praevia was 0.38%.The percentages of complete,partial and marginal placenta praevia were 33.1%,45.3% and 21.5%,respectively,there was no significant difference between 3 groups;the incidences of postpartum hemorrhage and transfusion in complete placenta praevia were higher than those in partial and marginal placenta praevia(P<0.05);there was no significant difference in the incidence of premature delivery between 3 groups(P>0.05).Conclusion:Placenta praevia is a serious complication in pregnant women,which is dangerous to mothers and fetus.
Keywords:Placenta praevia  Antepartum hemorrhage  Postpartum hemorrhage  Placenta implantation  Cesarean section
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