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전치태반의 임상적 고찰

Clinical Study of the Placenta Previa

대한산부인과학회지 1993년 36권 12호 p.3890 ~ 3896
이미정
권경익/주준형/박중규/이원주/조남규/김종인/김택훈

Abstract


From January, 1986 to December 31, 1992, 276 cases diagnosed and 181 delivered cases by Cesarean section for placenta previa among total deliveries of 25, 424 cases in Keimyung University Hospital were reviewed: The incidence of placenta previa
was
one
per ninty two deliveries (1.07%). The placenta previa has occurred more often in multiparous (60%) than primigravida(40%). The incidence of the emergency Cesarean section delivery for placenta previa was more than elective Cesarean secion
delivery.
The
types of the placenta previa included 97 cases of totalis (53%), 51 cases of partialis (28%), 28cases of marginalis (15%), 9 cases of low lying (4%). The type of the operation procedures for placenta previa included 179 cases of low seg.
Transverse
incision(98%), no case of classical incision(0%), 3 cases of inverted T incision(2%). The postoperative procedure for complicated Cesarean section was 8 cases of hypogastric artery ligation(4%), 3 cases of Cesarean hysterectomy(1%), no case of
reopen.
The fetal presentation were noted in 156 cases of vertex (86%), 17 cases of breech(10%), 8 cases of transverse(4%). The fist sign in patients of the placenta previa was vaginal bleeding in 65 cases, vaginal discharge in 5 cases, incidental
finding
by
sonography in 105 cases, and found during Cesarean section in 6 cases. There was no maternal motality in our study and the fetal complication was noted in 18 cases of fetal death in utero (9.9%), 49 cases of prematurity(27%), 1 cases of
congenitla
anomaly(0.1%)

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