瘢痕子宫对中央性前置胎盘产妇围手术期并发症及妊娠结局的影响

Effects of scar uterus on perioperative complications and pregnancy outcomes in central placenta previa parturient women

目的:观察瘢痕子宫对中央性前置胎盘(CPP)产妇围手术期并发症及妊娠结局的影响。方法:回顾性分析2015年1月至2017年6月154例CPP产妇的临床资料,根据是否存在瘢痕子宫分为观察组(合并瘢痕子宫)51例和对照组(无瘢痕子宫)103例。比较两组产后2 h、24 h出血量、并发症发生率、子宫切除率、剖宫产率、死亡率和围产儿临床结局。结果:观察组产后2 h、24 h出血量均明显高于对照组,胎盘植入、胎盘黏连、产后出血、先兆子宫破裂发生率、子宫切除率、剖宫产率、围产儿胎儿窘迫、早产和新生儿窒息发生率均明显高于对照组,差异有统计学意义(P<0.05)。结论:瘢痕子宫可增加中央性前置胎盘产妇围手术期并发症发生率,并严重威胁妊娠结局。

Objective:To observe effects of scar uterus on perioperative complications and pregnancy outcomes in central placenta previa(CPP)parturient women.Methods:The clinical data of 154 women with CPP were retrospectively analyzed.According to the presence or absence of scar uterus,they were divided into observation group(51 cases,with scar uterus)and control group(103 cases,without scar uterus).The 2 h and 24 h postpartum hemorrhage,complication rate,hysterectomy rate,cesarean section rate,mortality,and perinatal clinical outcomes were compared between the two groups.Results:The 2 h and 24 h postpartum hemorrhage of the observation group were significantly higher than those of the control group;the rates of placenta implantation,placental adhesion and postpartum hemorrhage,the incidence of threatened uterine rupture,hysterectomy rate,cesarean section rate,and the incidences of perinatal fetal distress,premature birth and neonatal asphyxia were significantly higher than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:Scar uterus can increase the incidence of perioperative complications in the CPP women,and seriously threaten the pregnancy outcomes.