论文部分内容阅读
目的总结胎盘早剥中不同胎盘附着位置的临床特点,探讨早期诊断方法,提高产前诊断的准确性。方法35例胎盘早剥患者分为前壁组(20例)和后壁组(15例),分析其症状、体征、B超检查、胎儿电子监护、术中情况与并发症及围产儿结局。结果后壁组临床表现较前壁组不典型,腹痛分别为6/15和17/20例,腹部压痛、子宫收缩过强分别为3/15和9/20例,B超诊断率分别为53%和90%。结论后壁胎盘在产前诊断为胎盘早剥较困难,临床上应密切观察,做到早期诊断,早期干预,避免漏诊误诊,改善母儿预后。
Objective To summarize the clinical features of placenta accreta in different placenta accreta and to discuss the early diagnosis methods to improve the accuracy of prenatal diagnosis. Methods Totally 35 cases of placental abruption were divided into anterior wall group (20 cases) and posterior wall group (15 cases), and their symptoms, signs, B-ultrasound, fetal electronic monitoring, intraoperative complications and perinatal outcome were analyzed. Results The clinical manifestations of the posterior wall group were not typical of the anterior wall group. The abdominal pain were 6/15 and 17/20 respectively. The abdominal tenderness and uterine contractions were 3/15 and 9/20 respectively. The diagnostic rates of B ultrasound were 53 % And 90%. Conclusion The placenta previa is more difficult to diagnose placental abortion in prenatal period and should be closely observed in clinic. Early diagnosis and early intervention should be avoided to avoid misdiagnosis and improve the prognosis of maternal and infant.