33例前置胎盘临床分析

Clinical analysis of 33 cases of placenta previa

目的探讨前置胎盘的病因、诊断、终止妊娠时机及方式及对母儿影响;方法回顾分析本院2003-2009年中收到17例部分性、16例中央性前置胎盘的病例资料;结果 33例均以剖宫产终止妊娠,其中23例出现产后出血,9例胎盘植入,子宫切除3例,无孕产妇死亡。围生儿死亡2例(一例双胎),新生儿窒息8例。结论前置胎盘选择适宜时机及方式终止妊娠,提高了围产儿生存率,降低了母儿产后并发症发生率。

Objective To explore the along with etiological factor,diagnostic method and the effect of the opportunity and pattern of terminating pregnancy on both mother and infant in pregnancy with placenta previa.Methods Data of cases with 17 Partial placenta previa and 16 cases with complete placenta previa during 1992 to 2004.Result All pregnant performed cesarean section,no one died.These include 23 cases with of postpartum hemorrhage,9 cases with of Placenta increta and 3 cases with of hysterectomy.perinatal infant death toll was 2 with 1 twin among the dead.asphyxial neonates.8 cases of neonates asphyxiation.Conclusion Learn timing and procedure to terminate pregnancy can improves the perinatal infant survival rate and reduce the postpartum complication rates.