Analysis Of The Relevant Factors And Clinical Features Of Pernicious Placenta Previa With Placenta Accrete

Objective: By reviewing the analysis of general information and clinical data of patients with pernicious placenta previa with placenta accreta,to investigate the clinical characteristics and risk factors of the implantation of the PPP patients,to further improve the understanding of the disease,and to provide a reference value for the prevention and treatment of the disease.Methods: 42 patients with PPP who received treatment and delivery from January 2014 to December 2016 in the First Hospital of Lanzhou University,According to whether or not placenta accreta,There were 18 cases of accreta group(case group)and 24 cases of non-accreta group(control group),The general clinical features and the delivery related situation of the two groups were compared.Results: 1.The incidence rate of implanted PPP in PPP was 42.8%(18/42)From January2014 to December 2016 in the First Hospital of Lanzhou University,There was no significant difference between the two groups in the average age of childbirth,gestational age,pregnancy times,delivery times and so on,no statistical significance(P> 0.05).2.Compared with the implantation group and the non implantation group,the elderly(over35 years),more than 2 times of abortion,the previous cesarean section vaginal delivery or not,the difference was statistically significant(P<0.05),In the time from a previous cesarean section,the number of cesarean section,no difference was statistically significant(P > 0.05).3.Compared with the non implanted group,the amount of intraoperative blood loss,the amount of blood transfusion during operation,hysterectomy,transfer to the intensive care unit(ICU)and so on were higher,the difference was statistically significant(P<0.05).4.There was no significant difference in the amount of intraoperative blood loss and the amount of intraoperative blood transfusion between the patients who were placed in the preoperative group and those who did not receive the balloon(P<0.05).5.Compared with the control group,there were many premature infants in the case group,the difference was statistically significant(P=0.027),neonatal asphyxia rate between the two groups(P=0.731),the difference was not statistically significant.Conclusions: 1.Occurrence of implanted pernicious placenta previa is closely related to the elderly,repeated abortion,cesarean section history,previous cesarean section without vaginal.2.Implantation of placenta previa were were high in the amount of intraoperative bleeding,intraoperative and postoperative blood transfusion,uterus resection rate,postoperative moved to ICU aspects.3.Preoperative placement of internal iliac artery balloon in the patients with implanted pernicious placenta previa did not reduce the amount of bleeding and postoperative blood transfusion and intraoperative.4.Implantation of pernicious placenta previa is prone to premature birth,neonatal asphyxia was no significant difference between the two groups.