摘要
目的:分析凶险型前置胎盘的临床特点及对孕产妇的危害,探讨凶险型前置胎盘的临床处理规范。方法:对我院2008年1月至2013年6月收治的42例凶险型前置胎盘与40例普通型前置胎盘的临床资料进行回顾性分析。结果:凶险型前置胎盘手术时间、产后出血、胎盘植入率及子宫切除率与普通型前置胎盘相比均有统计学差异(P<0.05)。结论:凶险型前置胎盘在诊疗过程中,应做到早期诊断、合理期待治疗,重视围手术期处理及产后出血抢救等环节。
Abstract
objective:To investigate the standard treatment by analyzing clincal characteristic and pregnancy outcomes in patients with pernicious placenta previa.methods:The clinical information of 42 patients with pernicious placenta previa and 40 patients with placenta previa from January,2008 to June,2013 in our department were analyzed retrospectively. Result:There were significant differences between experimental group and control group in average operative time, postpartum hemorrhage, placenta accrete rate and hysterectomy rate(P < 0.05).Conclusion:The standardized treatment strategy includes early accurate diagnosis, reasonable expectant therapy, emphasis on perioperative management, and appropriate management of postpartum hemorrhage.