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目的探讨帆状胎盘对妊娠结局以及分娩方式的影响,选择合适的治疗方案。方法对住院的112例帆状胎盘(≥32周),剔除帆状胎盘合并血管前置5例及有其他产科手术指征48例后,其余59例按分娩方式分剖宫产组及阴道分娩组,对两组妊娠结局进行回顾性分析。结果两组的孕周、新生儿体重、经产妇人数等具可比性;胎儿窘迫、新生儿窒息等围产儿结局差异无统计学意义。结论对无血管前置的帆状胎盘病例,如具备阴道试产条件(且无其他产科手术指征)者,可在严密监护下短期阴道试产,剖宫产是否作为常规的治疗方案有待商榷。
Objective To investigate the effect of sail placenta on pregnancy outcome and delivery mode and to choose the appropriate treatment plan. Methods 112 hospitalized cases of sagittal placenta (≥32 weeks), excluding placenta previa with blood vessels in 5 cases and other obstetric indications of 48 cases, the remaining 59 cases by cesarean section delivery and vaginal delivery Groups, the two groups of pregnancy outcomes were retrospectively analyzed. Results The gestational age, newborn weight and number of mothers in both groups were comparable. There was no significant difference in perinatal outcome between fetal distress and neonatal asphyxia. Conclusions For patients with avascular prefrontal sail placentas who have vaginal trial conditions (and no indications for other obstetric procedures), short-term vaginal trial production may be performed under close surveillance and cesarean section remains to be discussed as a routine treatment option .