前置胎盘51例临床分析

Clinical analysis of 51 cases of placenta previa

目的 :分析前置胎盘原因 ,探讨其期待治疗和手术治疗。方法 :对在也门拉哈杰省立医院 2 0 0 1年 10月至 2 0 0 4年 2月收治的 5 1例前置胎盘患者的临床资料进行回顾性分析。结果 :住院分娩产妇 4 12 0例 ,前置胎盘 5 1例 ,发生率 1.2 1% ,经产妇占 94 .1% ,愈接近中央型前置胎盘 ,其出血发生愈早愈严重 ,2 9例患者经期待治疗后明显延长孕龄。结论 :前置胎盘是产科严重并发症之一 ,腹部B超在前置胎盘诊断和分类上起了重要作用 ,期待治疗持续时间和正确选择分娩方式 ,适时终止妊娠可避免大出血对母婴生命的威胁。

Objective: To analyse causes of placenya previa,to investigate conservative approach and cesarean section. Methods:The clinical data of 51 patients with placenta previa to Yemen Lahj hospital from Oct.2001 to Feb. 2004 were analysed retrospectively. Results:4120 patients are to be delivered in hospital 51 cases of placenta previa, occurrence rates of about 1.21%,about 94.1% of multiparas. Patients with the more central types of placenta previa tend to bleed earlier and more heavily Alter conservative approacli, pregancy of 29 patients was extend evidently. Conclusions: Placenta previa remains one of the most dangerous complications of pregnancy. Abdominal ultrasound is importatnce action with diagnose and types of placenta plevia, expectant treatment duration and delivery manner is fight. Timing delivery may be to avoid massive heamorrhage to imperil life of mother and baby.