ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN ĐƯỢC CHẨN ĐOÁN CÁC TRƯỜNG HỢP SÓT RAU ĐIỀU TRỊ TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objectives: To describe the clinical and paraclinical characteristics of patients diagnosed with retained placenta at the National Hospital of Obstetrics and Gynecology in 2020. Methods: A cross-sectional, prospective study. Results: Gestational age under 12 weeks accounted for 75.3%. The highest percentage is the cases after suction aspiration 50.7% and 7.3% after caesarean section. The average time from termination of pregnancy to hospital admission was 45.4 days, the lowest was 2 days and the highest was 240 days. Symptoms of bleeding accounted for the highest rate 68.7%, the number of asymptomatic accounted for 14%. The percentage of patients with βhCG level > 5 Ui/ml was 80%. Most of the patients with ultrasound showed an intrauterine mass (98.7%). The images of mid-uterine mass and vascularity in the mass was 81.8% and 80.4%. 11.5% of cases had mass in the corner of the uterus in ultrasound. Conclusion: Two main symptoms to diagnose placental retained are bleeding and ultrasound with a mass in the uterus. It should be noted that the group of patients without clinical symptoms was 14%. The rate of retained placenta after cesarean section is 7.3%, still high compared to the general rate in the world