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目的:寻找一种免行清宫术及子宫切除的保守治疗胎盘植入的方法。方法:将68例胎盘植入患者分为两组,治疗组采用在静脉滴注甲氨喋呤的基础上,结合中医活血化瘀治疗,方用血府逐瘀汤加减(柴胡、生地、当归、川芎、枳实、桃仁、红花、赤芍、三棱、莪术等)。对照组不服中药,加用宫缩素及抗菌素治疗。结果:治疗组36例胎盘植入患者全部免行清宫术及子宫切除而获痊愈。而对照组32例中,20例行清宫术,4例行子宫全切除。结论:该法是胎盘植入较理想的保守治疗方法。
Objective: To find a method of conservative treatment of placenta accreta without surgery and hysterectomy. Methods: Sixty-eight cases of placenta accreta were divided into two groups. The treatment group was treated with intravenous methotrexate, combined with traditional Chinese medicine to promote blood circulation and remove blood stasis. The prescription of Xuefu Zhuyu Decoction (Bupleurum, Angelica, Chuanxiong, citrus aurantium, peach kernel, safflower, red peony root, Triangle, Curcuma, etc.). Control group refused to accept traditional Chinese medicine, plus the use of vitreous and antibiotic treatment. Results: All the 36 cases of placenta accreta in the treatment group were cured by hysterectomy and hysterectomy. The control group of 32 cases, 20 cases of curettage, 4 cases of hysterectomy. Conclusion: This method is a more ideal conservative treatment of placenta accreta.