摘要
目的浅析国内7所医学院校附属医院2010~2014年5年间正常和异常妊娠数,为临床诊疗、管理和决策提供支持。方法从7所医院病案室和门诊人工流产室收集资料,进行回顾性分析。结果 7所医学院校正常和异常妊娠数为359 592例,总分娩数占46.77%（168 192/359 592）,其中剖宫产率为58.46%（98 331/168 192）;人工流产、药物流产和中期妊娠引产占39.66%（142 607/359 592）;各种病理流产占6.08%（21 861/359 592）;各种异位妊娠占6.11%（21 982/359 592）[其中剖宫产瘢痕妊娠（cesarean scar pregnancy,CSP）占总异位妊娠数的10.58%];妊娠滋养细胞疾病和肿瘤占1.38%（4 950/359 592）。结论7所医院剖宫产率仍高,CSP发病率甚高,妊娠滋养细胞疾病和肿瘤发病率降低。
Objective To analyze the numbers of normal and abnormal pregnancies in 7 affiliated hospitals of medical colleges in China between 2010 and 2014, and provide help for clinical diagnosis, management and decision - making. Methods We retrospectively analyzed data collected from Records Room and Induced Abortion Room of each hospital. Results The number of normal and abnormal pregnancies from the 7 hospitals was 359 592. The percentage of delivery was 46. 77 % , among which caesarean section accounted for 58.46 %. Induced abortion, medical abortion and termination of second trimester pregnancy accounted for 39. 66 %. All kinds of abortion surgery for pathological conditions accounted for 6.08 %. All kinds of ectopie pregnancies accounted for 6. 11% , and wherein, 10. 58 % were cesarean scar pregnancies. In addition, gestational trophoblastic diseases and neoplasms accounted for 1.38 %. Conclusion The cesarean section rate is still high among the 7 hospitals, and family planning undertakes heavy responsibilities. The incidence of cesarean scar pregnancy is high, while the incidences of gestational trophoblastic diseases and neoplasms decrease.
出处
《中国计划生育和妇产科》
2016年第6期6-9,13,共5页
Chinese Journal of Family Planning & Gynecotokology
关键词
正常妊娠
异常妊娠
剖宫产
人工流产
剖宫产瘢痕妊娠
妊娠滋养细胞疾病
normal pregnancy
abnormal pregnancy
cesarean section
induced abortion
cesarean scar pregnancy
gestational trophoblastic disease
