本文選題：兇險性前置胎盤 + 胎盤植入��； 參考：《新疆醫(yī)科大學》2016年碩士論文

【摘要】：目的:探討孕晚期兇險性前置胎盤患者的臨床特點、母嬰結局和終止妊娠的治療方案,并分析兇險性前置胎盤合并胎盤植入的危險因素。方法:總結新疆醫(yī)科大學第一附屬醫(yī)院自2012年6月至2015年5月共收治的49例孕晚期兇險性前置胎盤病例,按臨床診斷和病理診斷分為胎盤植入組(28人)和非胎盤植入組(21人),對兩組的臨床特點、母嬰結局和終止妊娠的治療方案進行回顧性分析,并對兇險性前置胎盤合并胎盤植入的危險因素進行分析。結果:2012年6月至2015年5月新疆醫(yī)科大學第一附屬醫(yī)院兇險性前置胎盤的發(fā)病率為2.3‰,兇險性前置胎盤合并胎盤植入的發(fā)病率為1.3‰。植入組和非植入組的年齡及既往妊娠次數無明顯差別(P0.05)。植入組與非植入組在既往剖宮產次數方面比較有統(tǒng)計學意義(P0.05),Logistics回歸分析顯示,既往剖宮產史(OR=3.981,P=0.031,95%CI:0.996~15.414)為兇險性前置胎盤合并胎盤植入的獨立危險因素。植入組較非植入組產時產后出血量大,切除子宮例數多、術后重癥醫(yī)學科轉入率高、體溫異常人數多、住院天數長(P0.05),并易合并膀胱損傷。植入組與非植入組在新生兒體重、1分鐘Apgar評分等方面比較均無統(tǒng)計學差異(P0.05)。結論:兇險性前置胎盤合并胎盤植入更易發(fā)生子宮切除、產后出血、入住重癥醫(yī)學科、感染及住院天數的延長。既往剖宮產史為兇險性前置胎盤合并胎盤植入的獨立危險因素。
[Abstract]:Objective: to investigate the clinical features, maternal and child outcomes and termination of pregnancy in patients with dangerous placenta previa in late pregnancy, and to analyze the risk factors of placenta previa associated with placenta accreta. Methods: a total of 49 cases of dangerous placenta previa in the third trimester of pregnancy in the first affiliated Hospital of Xinjiang Medical University from June 2012 to May 2015 were summarized. According to the clinical diagnosis and pathological diagnosis, the placenta accreta group (28 cases) and the non-placental accreta group (21 cases) were divided into two groups. The risk factors of placenta previa associated with placenta accreta were analyzed. Results: from June 2012 to May 2015, the incidence of dangerous placenta previa in the first affiliated hospital of Xinjiang Medical University was 2.3 鈥，

本文編號：2072006