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胎盘植入尤其是合并前置胎盘时常引起灾难性产后出血、术后感染、DIC等导致孕产妇死亡,是产科少见而严重的并发症,也是近年来围产期子宫切除最常见的手术指征。但是,由于子宫-膀胱腹膜粘连,子宫切除时下推膀胱困难,手术常发生严重并发症。近期我们采取了经子宫后路子宫切除方法,减少出血量且未发生手术严重并发症,现介绍如下。
Placenta accreta, especially combined with placenta previa often cause catastrophic postpartum hemorrhage, postoperative infection, DIC and other maternal deaths, is a rare and serious obstetric complications, but also in recent years perinatal hysterectomy is the most common surgical indications . However, because of the uterus-bladder peritoneal adhesions, bladder surgery is difficult when hysterectomy is performed, and serious complications often occur during surgery. Recently, we adopted the hysterectomy via the uterus hysterectomy method to reduce the amount of bleeding and no serious complications of surgery, are described below.