摘要
目的:探讨有剖宫产史患者再次妊娠并发前置胎盘时的妊娠结局。方法:回顾性分析2003年9月～2007年9月在我院终止妊娠的前置胎盘85例,既往有剖宫产史23例,其中合并植入性前置胎盘5例;无剖宫产史62例,合并胎盘植入1例。结果:疤痕子宫组中发生产后出血20例,非疤痕子宫组中发生产后出血50例。共有8例行子宫切除,无孕产妇死亡。结论:剖宫产增加了前置胎盘、胎盘植入的发生率;胎盘形成异常是导致产科子宫切除的重要原因,降低剖宫产率是减少前置胎盘及胎盘植入、减少孕产妇及围生儿死亡的重要手段;产前早期诊断是改善预后的关键。
Objective： To explore the pregnancy outcomes of uterus with scar combined with placenta previa. Methods： The data of 85 pregnant women with placenta previa were analysed from September 2003 to September 2007 retrospectively, and all of them terminated pregnancy. 23 cases had history of cesarean section including 5 cases of placenta increta, and 62 cases had no history of cesarean section including one case of placenta increta. Results ： 20 and 50 cases with postpartum hemorrhage were found in uterus with scar group and uterus without scar group, respectively. 8 cases underwent hysterectomy. There was no maternal mortality. Conclusion ： The incidences of placenta previa and placenta increta increase with previous cesarean section. Abnormal placentation is the leading cause of obstetric emergent hysterectomy. Lowering cesarean section rate is a important method to reduce maternal and neonatal morbidity. The prenatal early diagnosis is the key to improve prognosis.
出处
《中国妇幼保健》
CAS
北大核心
2009年第28期3944-3946,共3页
Maternal and Child Health Care of China
关键词
剖宫产
疤痕子宫
前置胎盘
胎盘植入
Cesarean section
Uterus with scar
Placenta previa
Placenta increta
