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目的探讨植入性胎盘的临床诊治方法。方法回顾性分析镇平县妇幼保健院2009年12例植入胎盘患者的临床资料。结果除2例患者外,所有病例均有宫腔操作史,有人工流产史3例,有引产史4例,前置胎盘6例;行剖宫产5例,其中3例行子宫切除术,2例行植入病灶楔形切除术,1例药物保守治疗,1例双侧子宫动脉栓塞治疗,无产妇死亡。结论对有多次宫腔操作史及前置胎盘病例,应警惕植入性胎盘的可能。植入性胎盘的治疗方法根据病情、年龄及对生育的要求而采取不同的治疗方法,根据胎盘植入后病变特点,采取手术治疗或保守治疗。
Objective To investigate the clinical diagnosis and treatment of implanted placenta. Methods The clinical data of 12 cases of placenta accreta in 2009 in Zhenping Maternal and Child Health Hospital were retrospectively analyzed. Results In addition to 2 patients, all cases of uterine cavity operation history, abortion history in 3 cases, 4 cases of induced abortion, 6 cases of placenta previa; cesarean section in 5 cases, of which 3 cases of hysterectomy, Two patients underwent wedge resection, one was treated conservatively and one was treated by bilateral uterine artery embolization without maternal mortality. Conclusion There are many cases of uterine operation and placenta previa, should be alert to the possibility of placenta accreta. Implantable placenta treatment according to disease, age and reproductive requirements and take different treatment methods, according to the characteristics of placenta accreta lesions, to take surgical treatment or conservative treatment.