帆状胎盘并前置血管12例临床分析

目的探讨帆状胎盘的临床特点,对围产儿的影响,以及早期诊断、正确处理的方法 ,以降低围产儿死亡率。方法采用回顾性方法分析近五年来12例帆状胎盘并血管前置的临床资料。结果阴道出血量>100ml2例胎儿迅速死于宫内,<100ml10例中胎儿死亡3例,存活7例,分娩方式以剖宫产为主。结论帆状胎盘并前置血管是严重威胁围产儿安全的疾病,利用现代超声技术在产前做出正确诊断是降低围产儿死亡率的关键。

Objective To explore the clinical feature of velamentous placenta,the impact of perinatal.Methods of early diagnosis and proper treatment.Mehtods Retrospective analysis clinical data of the past f ive years about 12 cases velamentous placenta attachment with vasa previa.Results 2 fetuses who their mother＇s vaginal bleeding greater than 100ml died in utero fastly.3 cases of fetal death,survival in 7cases when vaginal bleeding lower than 100ml.Cesarean section was the main mode of delivery.Conclusion velamentous placenta attachment with vasa previa is associated with high prevalence of perinatalmortality,the key to a good outcome lies in prenatal ultrasonic diagnosis.