凶险型前置胎盘38例临床分析

Clinical analysis of pernicious placenta previa: a report of 38 cases

目的：观察凶险型前置胎盘妊娠结局及新生儿情况。方法：将220例前置胎盘分为凶险型前置胎盘组（A组）38例和一般前置胎盘组（B组）182例，比较2组产后出血、胎盘植入、子宫切除、剖宫产、早产、新生儿窒息和新生儿死亡情况。结果：A组产时产后出血率、胎盘植入率、子宫切除率、剖宫产率、早产率、新生儿窒息率和新生儿死亡率与B组，差异均有统计学意义（P〈0．05～P〈0．01）。结论：凶险型前置胎盘对母儿的危害大，应提高对凶险型前置胎盘的认识，做好孕期监护和术中、术后有效的处理，有利于改善凶险型前置胎盘母儿的预后。

Objective： To observe the outcomes of pernicious placenta previa pregnancy and neonate. Methods：Two hundred and twenty cases with placenta previa were divided into pernicious placenta previa group（38 cases） and normal placenta previa group（ 182 cases）. The rate of postpartum hemorrhage, placenta implantation, hysterectomy, cesarean section, premature birth, neonatal asphyxia and neonatal mortality of two groups were compared. Results： The differences of the rate of postpartum hemorrhage, placental implantation, hysterectomy, cesarean section, preterm birth, neonatal asphyxia and neonatal death between two groups were statistically significant（P 〈 0.05 to P 〈 0.01 ）. Conclusions：The harm of pernicious placenta previa to mother and infant is great. Strengthening pregnancy care and the effective preoperation and operation treatment can improve the prognosis of mother and infant in pernicious placenta previa.