CAJ | 학술논문

目的：探讨中央性前置胎盘并发胎盘植入的高危因素及处理方法。方法：回顾性分析2010年1月-2013年6月广东省清远市人民医院产科收治的95例中央性前置胎盘患者（其中22例并发胎盘植入）的临床资料。结果：我院近4年来中央性前置胎盘的发生率为0.8%(95/12261)，中央性前置胎盘并发胎盘植入的发生率为23.2%(22/95)；中央性前置胎盘并发胎盘植入的高危因素包括：孕妇年龄≥35岁、有剖宫产史；中央性前置胎盘并发胎盘植入者产时产后出血量明显多于未并发胎盘植入者(P=0.000)。结论：对高龄的、有剖宫产史的中央性前置胎盘患者应警惕并发胎盘植入；为减少中央性前置胎盘并发胎盘植入因严重的产时产后出血对母儿造成的危害，强调术前预测和诊断，制定手术方案，做好术前的充分准备。
목적：탐토중앙성전치태반병발태반식입적고위인소급처리방법。방법：회고성분석2010년1월-2013년6월광동성청원시인민의원산과수치적95례중앙성전치태반환자（기중22례병발태반식입）적림상자료。결과：아원근4년래중앙성전치태반적발생솔위0.8%(95/12261)，중앙성전치태반병발태반식입적발생솔위23.2%(22/95)；중앙성전치태반병발태반식입적고위인소포괄：잉부년령≥35세、유부궁산사；중앙성전치태반병발태반식입자산시산후출혈량명현다우미병발태반식입자(P=0.000)。결론：대고령적、유부궁산사적중앙성전치태반환자응경척병발태반식입；위감소중앙성전치태반병발태반식입인엄중적산시산후출혈대모인조성적위해，강조술전예측화진단，제정수술방안，주호술전적충분준비。
Objective:To discuss the high risk factors and peripartum management of complete placenta previa complicated with placenta increta. Methods:The 95 cases of complete placenta previa hospitalized in The People's Hospital of Qingyuan from January 2010 to June 2013 were analyzed retrospectively which 22 cases complicated with placenta increta. Results:The incidence of complete placenta previa was 0.8%(95/12261) in recent 3.5 years, and the morbidity of placenta increta among women with complete placenta previa was 23.2%(22/95);The high risk factors of complete placenta previa with placenta increta included more than 35 years old, previous cesarean delivery; The amount of postpartum hemorrhage in placenta increta group was significantly higher than that in non-placenta increta group. Conclusions:Placenta increta must be considered if the pregnant woman with complete placenta previa complicated with previous cesarean delivery or if she was more than 35 years old;To reduce the side effect to mother and fetus because of serious puerperal hemorrhage, peripartum clinical management is necessary.