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目的:探讨胎盘植入发生的易患因素及治疗方法。方法:回顾性分析33例胎盘植入病例的临床资料。结果:33例胎盘植入中,合并前置胎盘12例,多次妊娠29例,高龄11例。其中手术治疗26例,子宫切除5例,髂内动脉结扎1例,产时、产后需输血治疗14例。围产儿死亡1例。结论:胎盘植入发病率上升可带来严重后果,需引起高度重视;胎盘植入与前置胎盘、妊娠史及流产史、高龄等因素有关,应重视选择个体化治疗方案。
Objective: To investigate the placenta accreta factors and treatment methods. Methods: The clinical data of 33 cases of placenta accreta were retrospectively analyzed. Results: In 33 cases of placenta accreta, there were 12 cases with placenta previa, multiple pregnancies in 29 cases and 11 cases of advanced age. Among them, 26 cases were treated by surgery, 5 cases were treated by hysterectomy, 1 case was ligated by internal iliac artery, and 14 cases were required to be transfused during delivery and postpartum. Perinatal death in 1 case. Conclusion: The rising incidence of placenta accreta may have serious consequences, which deserves great attention. Placenta accreta is related to placenta previa, pregnancy history and history of abortion, advanced age and other factors. Individualized treatment should be emphasized.