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目的研究前置胎盘合并瘢痕子宫对母婴妊娠结局的影响。方法选择2012年10月—2013年11月来虞城县人民医院待产的产妇124例,随机将其分成对照组和观察组,每组各62例。对照组为单纯前置胎盘产妇,观察组为前置胎盘合并瘢痕子宫产妇,观察两组产妇妊娠结局情况。结果观察组患者与对照组患者相比,在产后出血率、胎盘植入率、术中出血量、手术时间、子宫切除率、休克、血管内凝血等方面均有明显差异,差异有统计学意义(P<0.05);观察组患者新生儿早产率明显高于对照组患者,差异有统计学意义(P<0.05)。结论前置胎盘合并瘢痕子宫对母婴妊娠结局有严重影响,易增加术中出血量,延长手术时间,增加产后出血率,提高胎儿早产率,临床医生在对产妇进行产前检查时应该加强重视,避免发生危险。
Objective To study the effect of placenta previa combined with uterus on maternal and fetal pregnancy outcomes. Methods A total of 124 maternal mothers were enrolled in Yucheng People’s Hospital from October 2012 to November 2013. They were randomly divided into control group and observation group with 62 cases in each group. The control group was simple placenta previa, the observation group was placenta previa with scar uterine maternal observation of the two groups of maternal pregnancy outcomes. Results Compared with patients in the control group, there were significant differences in postpartum hemorrhage rate, placenta accreta rate, intraoperative blood loss, operation time, hysterectomy rate, shock, and intravascular coagulation, and the difference was statistically significant (P <0.05). The rate of neonatal preterm birth in the observation group was significantly higher than that in the control group (P <0.05). Conclusions The placenta previa combined with scar uterus has a serious impact on maternal and fetal pregnancy outcomes. It is easy to increase the intraoperative blood loss, prolong the operation time, increase the rate of postpartum hemorrhage and improve the premature fetus rate. Clinicians should pay more attention to prenatal examination of maternal , To avoid danger.