胎盘植入凶险程度的临床高危因素分析

石三映1 ，魏满莉2

（1.陕西省渭南市白水县人民医院妇产科，陕西 渭南，715600；2.陕西省渭南市中心医院产科，陕西 渭南，714000）

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摘要：

目的 总结分析胎盘植入凶险程度的高危因素。方法 回顾性分析我院产科收治的117例产后诊断为胎盘植入患者的临床资料，总结影响胎盘置入凶险度的相关因素，并进行多因素Logistic回归分析。结果 117例胎盘植入患者中，重型27例（23.1%），轻型90例（76.9%）。单因素分析结果显示，轻、重两型间的孕次、产次、剖宫产史、多胎妊娠、前置胎盘及宫腔操作情况比较，差异具有统计学意义（P<0.05）；多因素Logistic回归分析结果显示，剖宫产史、多胎妊娠及前置胎盘是胎盘植入凶险程度的独立危险因素（P<0.05）。结论 对胎盘植入凶险程度产生影响的因素较多，尤以剖宫产史、多胎妊娠及前置胎盘影响突出，应强化此方面的监测，以免出现重型胎盘植入。

关键词：胎盘植入；凶险程度；高危因素

中图分类号：R714.462文献标志码：A文章编号：2096-1413(2017)26-0124-02

Risk factors analysis of the pernicious degree of placenta accreta
SHI San-ying 1, WEI Man-li 2
(1. Department of Obstetrics and Gynecology, Baishui County People``s Hospital, Weinan 715600; 2. Department of Obstetrics,
Weinan Central Hospital, Weinan 714000, China)

ABSTRACT: Objective To analyze and summarize the risk factors of the pernicious degree of placenta accreta. Methods The clinical data of 117 placenta accreta patients admitted in our hospital were retrospectively analyzed. The factors related to the pernicious degree of placenta accreta were summarized, and the factors were analyzed by multivariate Logistic regression analysis. Results In 117 placenta accreta patients, there were 27 patients (23.1%) with severe placenta accreta and 90 patients (76.9%) with light placenta accreta. The univariate analysis showed that there were significant differences between the two groups with different types of placenta accreta in pregnancy times, birth times, history of esarean section, multiple pregnancy, placenta previa and intrauterine operation (P<0.05). The multivariate Logistic regression analysis showed that the history of cesarean section, multiple pregnancy and placenta previa were the independent risk factors of the pernicious degree of placenta accreta (P<0.05). Conclusion There are many factors that affect the pernicious degree of placenta accreta, especially the history of cesarean section, multiple pregnancy and placenta previa, so the monitoring should be strengthen to avoid severe placenta previa.
KEYWORDS: placenta accreta; pernicious degree; risk factors

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