55例胎盘植入患者预后相关因素的分析The correlation between the prenatal diagnosis and the prognosis in the patients with placenta accreta
王琼;陈琳;梁润彩;杨建波;牛刚;钟依平;王子莲;
摘要(Abstract)：
目的:探讨影响胎盘植入患者预后的相关因素。方法:选择1998年1月至2008年1月在中山大学附属第一医院分娩,经过产后病理证实的胎盘植入患者55例,用回顾性病例统计分析方法研究患者的既往流产次数、产前、产后出血量、产前超声是否诊断胎盘植入以及胎盘植入合并前置胎盘类型之间的关系,分析这些因素与胎盘植入的严重并发症,即围产期全子宫切除之间的关系。结果:患者植入性前置胎盘的类型、产前、产后出血量及围产期全子宫切除术均与既往流产次数无关(P>0.05)。胎盘植入患者产前彩色多普勒超声诊断阳性率与胎盘前壁附着有关(P<0.05),与产前、产后出血量、胎盘植入面积无关(P>0.05)。患者行围产期全子宫切除术与产前出血量、胎盘植入面积相关(P=0.000),且与合并中央型前置胎盘相关(P<0.05)。结论:胎盘植入患者合并前壁前置胎盘时超声诊断相对容易。胎盘植入面积和产前出血量对预测胎盘植入患者预后有重要的指导意义。有产前出血的植入性中央型前置胎盘患者的预后可能较差,应做好围产期全子宫切除术的准备。
关键词(KeyWords)： 胎盘,侵入性;胎盘前置;产后出血;围产期全子宫切除术
基金项目(Foundation):
作者(Authors): 王琼;陈琳;梁润彩;杨建波;牛刚;钟依平;王子莲;
DOI: 10.13283/j.cnki.xdfckjz.2009.09.005
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