CAJ | 학술논문

目的：分析介入治疗用于凶险性前置胎盘临床效果。方法回顾性分析2011年1月至2013年6月我院共收治24892例分娩孕妇的临床资料。结果在凶险性前置胎盘及胎盘植入的发生率方面，孕周≥37周的孕妇明显比<37周的孕妇低，中央型前置胎盘孕妇的发生率明显比部分型和边缘型孕妇高，妊娠次数≥3次的孕妇的发生率明显比妊娠次数为1次、2次的孕妇高(P<0．05)；凶险性前置胎盘及胎盘植入患者经介入治疗后的弥散性血管内凝血(DIC)、子宫切除、产后出血>2000ml、产褥感染、早产、新生儿窒息、新生儿死亡发生率均明显比非介入治疗低(P<0．05)。结论介入治疗用于凶险性前置胎盘的临床效果良好，值得推广。
목적：분석개입치료용우흉험성전치태반림상효과。방법회고성분석2011년1월지2013년6월아원공수치24892례분면잉부적림상자료。결과재흉험성전치태반급태반식입적발생솔방면，잉주≥37주적잉부명현비<37주적잉부저，중앙형전치태반잉부적발생솔명현비부분형화변연형잉부고，임신차수≥3차적잉부적발생솔명현비임신차수위1차、2차적잉부고(P<0．05)；흉험성전치태반급태반식입환자경개입치료후적미산성혈관내응혈(DIC)、자궁절제、산후출혈>2000ml、산욕감염、조산、신생인질식、신생인사망발생솔균명현비비개입치료저(P<0．05)。결론개입치료용우흉험성전치태반적림상효과량호，치득추엄。
Objective To analysis the clinical effect of interventional therapy in pernicious placenta previa treatment. Methods Retrospective analysis of 24892 parturient women clinical data in Chengdu Women’s&Children’s Central Hospital from January 2011 to June 2012. Results The incidence of pernicious placenta previa and placenta increta is lower in those parturient women with delivery gestational age greater than or equal to 37 than those parturient women with delivery gestational age less than 37. The incidence of central type of placenta previa is higher than that of partial placenta praevia and marginal placenta previa (P<0. 05). The incidence of pernicious placenta previa and placenta increta is higher in those parturient women with pregnancy times more than 2 than those parturient women with pregnancy times less or equal to 2(P<0. 05). The incidence of disseminated intravascular coagulation, hysterectomy, postpartum hemorrhage more than 2000ml, puerperal infection, premature delivery, neo-natal asphyxia, neonatal death of interventional therapy group is lower than that of traditional therapy group(P<0. 05). Conclu-sion Interventional therapy is an useful method coping with pernicious placenta previa and placenta increta, it has ignificant cura-tive effect and it is worth popularizing.