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目的通过对18例植入性胎盘分析,探讨本院植入性胎盘发生率及中西药联合治疗,减少子宫切除率的方法。方法回顾性分析植入性胎盘18例临床资料。结果1/2931(41/10万)。11例剖宫产,其中6例作子宫切除术,阴道分娩6例,1例为中孕引产,保守治疗12例,5例在胎盘植入处作局部挖除缝合,7例中西药物联合治疗。并以β-HCC和B超监测治疗效果,约产后2个月左右残留胎盘完全排出宫腔。18例病理诊断均为植入性胎盘。结论重视有胎盘植入高危因素,早期发现植入性胎盘,中西药的联合应用,对排队残留胎盘保守子宫有良好的效果。
Objective To analyze the incidence of placenta accreta in 18 cases and the combined treatment of Chinese and western medicine to reduce the rate of hysterectomy. Methods The clinical data of 18 cases of placenta accreta were retrospectively analyzed. Results 1/2931 (41/10 million). 11 cases of cesarean section, of which 6 cases for hysterectomy, vaginal delivery in 6 cases, 1 case of midwifed labor, conservative treatment of 12 cases, 5 cases of partial placenta accreta stitching, 7 cases of combination of Chinese and Western medicine . And β-HCC and B-monitoring of treatment effect, about 2 months after delivery of residual placenta completely discharged from the uterine cavity. 18 cases of pathological diagnosis of implanted placenta. Conclusion The placenta accreta has been paid more attention because of the risk factors of placenta accreta. The combined application of placenta accreta and traditional Chinese and western medicine was found in the early stage. It has a good effect on keeping the uterus with residual placenta.