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凶险性前置胎盘植入发病危险因素及不同类型妊娠结局分析

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目的 研究凶险性前置胎盘(PPP)植入发病危险因素及不同类型妊娠结局。方法 将医院2018年1月-2020年7月收治的343例PPP患者纳入研究,将其按照是否伴胎盘植入分作植入组(95例)和无植入组(248例)。分析两组各项临床资料的差异,并以多因素Logistic回归分析明确PPP植入和相关影响因素的关系。此外,将所有PPP患者按照类型的差异分为中央型、部分型、边缘型以及低置型,分析不同类型PPP患者的妊娠结局。结果 植入组产次>2次、胎盘部位为前壁、剖宫产次≥2次、中央型前置胎盘人数占比均明显高于无植入组,差异有统计学意义(P<0。05)。两组年龄、孕次、妊娠期高血压、妊娠期糖尿病以及前置胎盘病史对比,差异均不明显,无统计学意义(P>0。05)。结论 产次、胎盘部位、前置胎盘类型以及剖宫产次数均是PPP植入发病的影响因素,其中中央型PPP妊娠结局较差,值得临床重点关注。
Risk Factors of Pernicious Placenta Previa Implantation and Outcome Analysis of Different Types of Pregnancy
Objective To study risk factors of pernicious placenta previa(PPP)implantation and outcomes of different types of pregnancy.Methods The paper chose 343 PPP patients in the hospital from January 2018 to July 2020 for study,and divided them into implantation group(95 cases)and non implantation group(248 cases)according condition of placenta implantation,and analyzed difference of clinical data between two groups,determined relationship between PPP implantation and related influencing factors based on multivariate logistic regression analysis.Moreover,PPP patients were divided them into central type,partial type,marginal type and low type according to difference of types,pregnancy outcomes of different types of PPP patients were analyzed.Results Number of patients with>2 times of birth,anterior wall of placenta,>2 times of cesarean section and central placenta previa in implantation group was significantly higher than non implantation group(all P<0.05).There was no significant difference in age,pregnancy times,pregnancy induced hypertension,pregnancy induced diabetes and placenta previa between two groups(P>0.05).Conclusion Number of births,placental site,type of placenta previa and number of cesarean section are the influencing factors of incidence of PPP implantation,and central PPP has poor pregnancy outcome,which is worthy of clinical attention.

Pernicious placenta previaPlacenta implantationRisk factorsPregnancy outcomes

陈丽、黄婷

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广东省深圳市妇幼保健院产科,广东 深圳 518028

凶险性前置胎盘 胎盘植入 危险因素 妊娠结局

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(13)