資源描述:
《前置胎盤伴胎盤植入危險因素分析及宮頸子宮下段環(huán)形縫合術(shù)對母嬰結(jié)局的影響》由會員上傳分享,免費在線閱讀,更多相關(guān)內(nèi)容在學術(shù)論文-天天文庫。
1、前因散析及跡形對局腳向2018-03-2910:29:58中國現(xiàn)代醫(yī)生2018年6期張力維李靑齊淑琴王勝年錢自強[摘耍]鬥的分析前置胎盤伴胎盤祖入的危險因素,并探討宮頸子宮下段環(huán)形縫合術(shù)對前置胎盤伴胎盤植入的母嬰結(jié)局影響。方法對2013年8月?2017年2月我院收治的364例前置胎盤患者進行冋顧性分析,其屮前置胎盤伴胎盤植入者75例(觀察組),僅單純?yōu)榍爸锰ケP者289例(對照組),分析前H胎盤伴胎盤祖入的危險因索。75例前H胎盤伴胎盤植入患者屮25例術(shù)屮行宮頸子宮下段環(huán)形縫合術(shù)(環(huán)形組),50例行傳統(tǒng)手
2、術(shù)(傳統(tǒng)組),比較兩組患者母嬰結(jié)局。結(jié)果孕次、流產(chǎn)史、剖宮產(chǎn)史、前置胎盤類型是前置胎盤伴胎盤祖入發(fā)生的單危險因素(P<0.05);兩組患者年齡比較差異無統(tǒng)計學意義:多因素Logistic回歸分析孕次、流產(chǎn)史、剖宮產(chǎn)史、前置胎盤類型均是前置胎盤伴胎盤植入發(fā)生的獨立危險因素(P<0.05)。環(huán)形組患者術(shù)巾出血最、共計輸血最、住院天數(shù)、ICU轉(zhuǎn)入率均顯著低于傳統(tǒng)組(P<0.05);兩組患者手術(shù)時間、子宮切除率比較,差異無統(tǒng)計學意義(P>0.05)o兩組新生兒出生1min,5minApgar評分比較,差異有統(tǒng)計
3、學意義(P<0.05);兩組新生兒轉(zhuǎn)入新生兒監(jiān)護病房率、岀生時體重比較,差異無統(tǒng)計學意義(P>0.05)。結(jié)論孕次、流產(chǎn)史、剖宮產(chǎn)史、前置胎盤類型是前置胎盤伴胎盤植入的獨立危險因素。宮頸子宮下段環(huán)形縫合術(shù)可有效減少前置胎盤伴胎盤植入對母嬰的危害。[關(guān)鍵詞]前H胎盤;胎盤祖入;危險因索;宮頸子宮下段環(huán)形縫合術(shù)[中圖分類號]R719.8[文獻標識碼]B[文章編號】1673-9701(2018)06-0056-04[Abstract]ObjectiveToanalyzetheriskfactorsofplac
4、entaaccretacombinedwithplacentapreviaandtoinvestigatetheeffectofcervicalsutureofloweruterinesegmentonmaternalandinfantoutcomes.MethodsAretrospectiveanalysiswasperformedon364casesofplacentapreviaadmittedfromAnhuiMedicalUniversityAffiliatedAnqingMunicipalH
5、ospitalbetweenAugust2013andFebruary2017.Amongthem,75casescombinedwithplacentaaccretewerechosenasobservationgroup,289casesonlywithplacentapreviawerechosenascontrolgroup,analyzedriskfactorsofplacentapreviacombinedwithplacentaaccreta.Amongthetotal75casesofp
6、lacentapreviacombinedwithplacentaaccrete,25casesweretreatedwithannularsuturingoftheloweruterinesegmentofthecervix(annulargroup)and50casesweretreatedwithconventionaloperation(traditionalgroup).Maternalandinfantoutcomeswerecomparedbetweenthetwogroups.Resul
7、tsThetimesofgravidity,abortionhistory,cesareansectionrecordandtypeofplacentapreviawerethesingleriskfactorsofplacentapreviacombinedwithplacentaaccreta(P<0.05).Therewasnosignificantdifferencebetweenthetwogroupsinage;Multiple-factorsLogisticRegressionanalys
8、isofpregnancytimes,abortionrecord,cesareansectionrecordandplacentapreviatypewereallindependentriskfactorsofplacentapreviacombinedwithplacentaaccreta(P<0.05).Thebloodloss,bloodtransfusion,daysofhospitalizationandICUtransfer