【摘要】 目的:探讨前置胎盘的病因、临床表现及诊治方法。方法:对76例前置胎盘患者的临床资料进行回顾性分析,76例采用期待疗法、抑制宫缩治疗、宫颈环扎等治疗方法进行治疗,行剖宫产48例,其中子宫下段剖宫产26例,腹膜外剖宫产22例。结果:前置胎盘对孕产妇的影响以妊娠晚期突发无痛性阴道反复出血、产后出血者为多。前置胎盘宫颈环扎者平均期待天数为44.23d,非宫颈环扎者平均期待天数为19.68d,前者期待平均时间较后者延长。76例经治疗后取得良好效果。结论:加强孕期保健宣教,减少发病的高危因素,对前置胎盘患者进行早期诊断和治疗,可降低前置胎盘的发生率和死亡率。更多还原

【Abstract】 Objective:To understand the causes and clinical manifestation of placenta praevia,its diagnosis and therapeutic methods. Methods:Clinical data of 76 patients with placenta praevia were analyzed retrospectively. Expectant treatment,inhibiting uterine contraction and cervical cerclage were deployed. Uterine-incision delivery was operated in 48 cases,including 26 cases of low cesarean section and 22 cases of extraperitoneal caesarean section. Results:Unexpected or repeated painless vaginal bleeding and postpartum hemorrhage were main symptoms in late trimester of pregnancy. The average expectation day of cervical cerclage was 44.23 days,and that of non cervical cerclage was 19.68 days. The former was longer than the later,but all patients had positive results. Conclusions:Intensive education in pregnancy,reducing high risks,early diagnosis and treatment can decrease the incidence and mortality of placenta praevia.更多还原