54例前置胎盘的临床分析

目的探讨前置胎盘的病因及临床治疗结局,进一步提高临床对该病的认识和处理能力。方法顾性分析我院2006年1月至2010年6月54例前置胎盘的资料。结果妊娠次数及年龄是前置胎盘的重要原因;前置胎盘的产后出血率及新生儿窒息率显著增加;中央型前置胎盘的产后出血率及新生儿早产率及低体重儿发生率显著增加。结论免多次妊娠,可降低前置胎盘的发生;中央型前置胎盘病情最凶险,适时剖宫产,可以改善妊娠结局。

Objective To investigate the etiology of placenta previa and clinical outcomes,and to furtherly improve the understanding of the disease and clinical outcomes.Methods A retrospective analysis of 54 cases of placenta previa in our hospital from 2006.1～2010.6.Results Multiple pregnancy and age is an important cause of placenta previa;The rate of postpartum hemorrhage and neonatal asphyxia is significantly increased in placenta previa;The incidence of postpartum hemorrhage preterm births and low birth weight children increase in central placenta significantly.Conclusion Avoiding multiple pregnancy can reduce the incidence of placenta previa;Central placenta previa is the most dangerous conditions,timely cesarean section can improve pregnancy outcome.