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Analysis of clinical features of 231 cases with pernicious placenta previa

机译：PREVIA临床临床特征分析231例

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ABSTRACT:Pernicious placenta previa (PEPP) is a severe complication of late pregnancy, which might result in adverse maternal-fetal outcome. To explore the application value of placenta accreta score (PAS) for PEPP and its association with maternal-fetal outcome.In this retrospective cohort study, the clinical data of PEPP patients were analyzed. According to the ultrasonic PAS, patients were grouped into 3 groups: scores ≤5, a scores between 6 and 9, and scores ≥10. The clinical data, intraoperative and postoperative outcomes were collected. Receiver operating characteristic (ROC) curves were used to evaluate the performance of PAS in disease severity evaluation. Multivariate logistic and linear regression analysis were performed to assess associations of PAS with intraoperative and postoperative outcomes.A total of 231 patients were enrolled. There were significant differences in intraoperative, postoperative and neonatal outcomes, such as operation time, bladder repair, ICU admission, postoperative hospitalization days, operation complications, Apgar score of newborns in 1 minute and premature delivery among the 3 groups (all P?7.5 indicated placenta accreta, placenta increta and placenta percreta, respectively. PAS was independently associated with longer time of operation, surgical complications, intraoperative bleeding volume, and postoperative hospitalization days (all P??.05).Placenta accreta score might help with PEPP subtype diagnosis and predict the maternal-fetal outcome of PEPP patients.Copyright ? 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
机译：摘要：PREVIA（PEPP）的恶性胎盘是怀孕晚期的严重并发症，这可能导致母亲胎儿结果不良。为了探讨胎盘Accreta评分（PAS）的施用价值及其与母亲胎儿结果的关联。在这种回顾性队列研究中，分析了佩佩患者的临床数据。根据超声波PAS，患者分为3组：评分≤5，分数在6到9之间，分数≥10。收集临床资料，术中和术后结果。接收器操作特征（ROC）曲线用于评估PAS在疾病严重程度评估中的性能。进行多元逻辑和线性回归分析，以评估PA与术中和术后结果的关联。共有231名患者的患者。术中，术后和新生儿结果存在显着差异，如操作时间，膀胱修复，ICU入院，术后住院日，手术并发症，新生儿的APGAR评分在1分钟内，3组中的早产（所有P？7.5所示胎盘Accreta，胎盘Inceta和胎盘Percreta分别与较长的操作时间，手术并发症，术中出血，和术后住院日（所有p？＆ 05）。平静的Accrecta得分可能有助于Pepp亚型诊断和预测肽患者的母体胎儿结果。柔小妙语？2021作者。由Wolters Kluwer Health，Inc。出版

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