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目的:分析前置胎盘的发病原因并比较完全性、部分性和边缘性前置胎盘的妊娠结局。方法:回顾性分析5年来惠州市中医院收治的前置胎盘产妇的发病原因和妊娠结局。结果:前置胎盘发病的主要原因有人流史、剖宫产史、盆腔炎、多次分娩史。完全性前置胎盘的比率为31.0%,部分性前置胎盘的比例为50.0%,边缘性前置胎盘为19.0%。前置胎盘剖宫产率为91.64%,产后出血率为36.2%,出血原因有宫缩乏力、胎盘粘连及植入、胎盘附着面出血等。结论:前置胎盘是威胁母儿生命的严重并发症,减少人流次数、注意生殖卫生、降低剖宫产率、实行计划生育是防止发生前置胎盘的重要措施。
Objective: To analyze the causes of placenta previa and to compare the completeness, partial and marginal placenta previa pregnancy outcomes. Methods: Retrospective analysis of the incidence of placenta previa and pregnancy outcomes admitted to Huizhou Hospital of Traditional Chinese Medicine in 5 years. Results: The main causes of placenta previa have abortion history, history of cesarean section, pelvic inflammatory disease, multiple delivery history. The ratio of complete placenta previa was 31.0%, partial previa placenta was 50.0%, and marginal placenta was 19.0%. Cesarean section rate of placenta previa was 91.64%, postpartum hemorrhage rate was 36.2%, causes of uterine bleeding, placenta accreta and implantation, placental adhesion surface bleeding. Conclusion: Placenta previa is a serious complication threatening the life of mother and child. It is an important measure to prevent placenta accreta by reducing the number of infants, paying attention to reproductive health, reducing the rate of cesarean section and implementing family planning.