Department of Gynecology and Obstetrics, Ankara Şehir Hastanesi, Cankaya, Turkey.
Department of Gynecology and Obstetrics, Ankara Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi, Ankara, Turkey.
Z Geburtshilfe Neonatol. 2023 Feb;227(1):31-35. doi: 10.1055/a-1929-9500. Epub 2022 Sep 28.
The aim of this study is to investigate the relationship between first trimester subchorionic hematomas and pregnancy outcomes in women with singleton pregnancies.
Between January 2018 and January 2019, patients who had a single pregnancy between the 6th and 14th weeks of their pregnancy and were hospitalized with the diagnosis of abortus imminens in the early pregnancy service were included in the study. According to the ultrasonographic examination, those with subchorionic hematoma and those with no hematoma were compared in terms of demographic data, pregnancy outcomes and pregnancy complications.
400 abortus immines cases with subchorionic hematoma and 400 abortus imminens cases without subchorionic hematoma were compared. Preterm delivery percentages were similar in both groups, however abortus percentage was significantly higher in the hematoma group (34.2 vs. 24.7%; p=0.007). In addition, it was revealed that the presence of subchorionic hematoma before the 20th gestational week increased the risk of miscarriage 1.58 times. However, no data could be found in the study that could correlate the size of the hematoma with pregnancy loss.
The presence of subchorionic hematoma increases abortion rates in abortus imminens cases. And the presence of subchorionic hematoma in cases with ongoing pregnancy does not increase the complications of delivery.
本研究旨在探讨早孕期单纯绒毛膜下血肿与妊娠结局的关系。
本研究纳入 2018 年 1 月至 2019 年 1 月期间因难免流产于早孕门诊住院的单胎妊娠患者。根据超声检查，将单纯绒毛膜下血肿患者与无血肿患者进行比较，比较两组患者的一般资料、妊娠结局及妊娠并发症。
共比较了 400 例有单纯绒毛膜下血肿的难免流产患者和 400 例无单纯绒毛膜下血肿的难免流产患者。两组早产率相似，但血肿组流产率明显更高（34.2% vs. 24.7%；p=0.007）。此外，研究还表明，妊娠 20 周前出现单纯绒毛膜下血肿会使流产风险增加 1.58 倍。然而，本研究未发现血肿大小与流产之间存在相关性。
单纯绒毛膜下血肿会增加难免流产患者的流产率。而绒毛膜下血肿在继续妊娠的病例中并不增加分娩并发症的发生。
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