[1]李静,周军,张文轲,等.晚期妊娠凶险性前置胎盘并胎盘植入15例临床分析[J].青岛大学医学院学报,2017,53(03):353-355.[doi:10.13361/j.qdyxy.201703029]
 LI Jing,ZHOU Jun,ZHANG Wenke,et al.PERNICIOUS PLACENTA PREVIA WITH PLACENTA ACCRETA IN LATE PREGNANCY: A CLINICAL ANALYSIS OF 15 CASES [J].Acta Aacademiae Medicinae Qingdao,2017,53(03):353-355.[doi:10.13361/j.qdyxy.201703029]
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晚期妊娠凶险性前置胎盘并胎盘植入15例临床分析()
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《青岛大学医学院学报》[ISSN:1672-4488/CN:37-1356/R]

卷:
第53卷
期数:
2017年03期
页码:
353-355
栏目:
出版日期:
2017-08-07

文章信息/Info

Title:
PERNICIOUS PLACENTA PREVIA WITH PLACENTA ACCRETA IN LATE PREGNANCY: A CLINICAL ANALYSIS OF 15 CASES
文章编号:
1672-4488(2017)03-0353-03
作者:
李静周军张文轲张宁叶元华
青岛大学附属医院产科,山东 青岛 266003
Author(s):
LI Jing ZHOU Jun ZHANG Wenke ZHANG Ning YE Yuanhua
Department of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao 266003, China
关键词:
前置胎盘侵入性胎盘妊娠末期剖宫产术子宫切除术
Keywords:
placenta previa placenta accreta pregnancy trimester third caesarean section hysterectomy
分类号:
R714
DOI:
10.13361/j.qdyxy.201703029
文献标志码:
A
摘要:
目的 探讨凶险性前置胎盘并胎盘植入的发生率、诊断和治疗方法。
方法 对我院2011年10月—2014年12月收治的15例凶险性前置胎盘(中央型)并胎盘植入病人进行回顾性分析。
结果 瘢痕子宫孕妇凶险性前置胎盘并胎盘植入的发生率为3.49%。13例病人在产前经B超诊断,超声诊断率为86.7%。9例病人行子宫切除术(病理检查均确诊胎盘植入),6例病人出血部位行“8”字缝合,15例病人均手术效果良好,术后安全出院。
结论 B超对凶险性前置胎盘并胎盘植入诊断率高;该病治疗方法和结局与胎盘侵入范围密切相关。
Abstract:
Objective  To investigate the incidence rate, diagnosis, and treatment of pernicious placenta previa with placenta accreta in late pregnancy.
Methods  A retrospective analysis was performed for the clinical data of 15 patients with pernicious placenta previa (central type) complicated by placenta accreta who were admitted to our hospital from October 2011 to December 2014.
Results  The incidence rate of pernicious placenta previa complicated by placenta accrete in pregnant women with a scarred uterus was 3.49%. Of all patients,13 (86.7%) were diagnosed by ultrasound before parturition. Nine patients underwent hysterectomy and had a confirmed diagnosis of placenta accrete on pathological examination, and six patients were given 8-character-pattern suturing at the bleeding sites. All patients had a good surgical outcome and were discharged safely after surgery.
Conclusion  Ultrasound has a high diagnostic rate of pernicious placenta previa with placenta accreta, and the therapies and outcome of this disease are closely associated with the extent of placenta invasion.
更新日期/Last Update: 2017-08-13