凶险型前置胎盘37例分析

Analysis of 37 pernicious placenta previa cases

目的探究并分析凶险型前置胎盘的临床特点,分析对产妇的危害性,提高对该疾病的认识,增加围生儿的存活率,减少孕产妇的死亡率。方法回顾37例凶险型前置胎盘的病历资料,设为A组,非凶险型前置胎盘124例病历资料设为B组。结果 A、B两组产妇的临床资料比较,产次以及产前出血比例差异有统计学意义(P<0.05);A、B两组声像特征比较,差异具有统计学意义(P<0.05);A、B两组产妇手术情况比较,出血量、输血比例、子宫切除率差异均有统计学意义(P<0.01)。结论凶险型前置胎盘对于孕产妇是危险的,需要加强产前检查,及时发现,提前预防,有效的防治悲剧发生。

Objective To explore clinical characteristics and to analysis the risk of pernicious placenta previa, in order to increase survival rate of perinatal infant and to reduce mortality of pregnant women. Methods A retrospective review was made of the clinical data of 37 pernicious placenta previa cases, which was set as group A. A total of 124 cases without pernicious placenta previa were set as group B. Results The comparison of clinical data between groups A and B showed that there were statistically significant difference of parity and antepartum hemorrhage proportion （P〈0.05）. The difference of acoustic imaging characteristics between the two group had statistical significance （P〈0.05）. The comparison of operation situation between groups A and B showed that there were significant difference of bleeding volume, blood transfusion proportion, and hysterectomy rate （P〈0.01）. Conclusion Pernicious placenta praevia is dangerous for pregnant women, therefore it is necessary to strengthen antenatal examination, so as to provide early prevention after timely discovery, and to effectively avoid tragedy.