论文部分内容阅读
目的探讨瘢痕子宫并发前置胎盘的临床特点、诊断、处理及预防措施。方法回顾性分析了我院2010年1月至2011年12月我院收治的瘢痕子宫并发前置胎盘患者39例,并随机抽取了同期住院的非瘢痕子宫的前置胎盘患者作为对照进行病例对照研究。结果瘢痕子宫组在胎盘植入发生率、子宫切除率、术中出血量方面明显增高。结论剖宫产瘢痕妊娠并发前置胎盘患者胎盘植入发生率高,术中出血量大,充分做好术前准备,术中积极采取各种有效的措施止血对于改善患者的预后非常重要。
Objective To investigate the clinical features, diagnosis, treatment and preventive measures of uterine scar with placenta previa. Methods A retrospective analysis of our hospital from January 2010 to December 2011 in our hospital were treated with 39 cases of uterine scarring in patients with placenta previa and randomized the same period of hospitalized non-scarring uterus placenta previa patients as a control case-control the study. Results The rate of placenta accreta, the rate of hysterectomy and the amount of intraoperative blood loss were significantly higher in the scarring uterus group. Conclusion The incidence of placenta accreta in patients with cesarean scar pregnancy complicated with placenta previa has a high incidence of intraoperative blood loss and adequate preoperative preparation. Various effective measures to stop bleeding during cesarean section are very important for improving the prognosis of patients.