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目的探讨植入性胎盘的临床特点、发病因素、诊断和治疗方法的选择。方法回顾性分析2005年5月至2013年5月诊治的14例植入性胎盘病例。结果患者平均年龄33岁;有人工流产史或多产史;前置胎盘4例(其中2例为双胎妊娠)。4例行剖宫产者分别采用局部病灶切除加搔刮、宫腔纱条填塞;经阴道分娩者,6例行子宫动脉灌注加栓塞术,4例行药物保守治疗,一周后均行清宫术。14例患者均痊愈出院。结论产科应重视植入性胎盘高危因素,尽早进行诊断,选择恰当治疗方案,减少其并发症,改善妊娠结局。
Objective To investigate the clinical features, incidence of placenta accreta placenta, diagnosis and treatment options. Methods Retrospective analysis of 14 cases of implanted placenta diagnosed and treated from May 2005 to May 2013. Results The average age of patients was 33 years. There was a history of artificial abortion or prolonged labor. Four placenta previa (2 of them were twin pregnancy). 4 cases of cesarean section were treated with local lesion removal and scraping, uterine gauze packing; vaginal delivery, 6 cases of uterine artery perfusion and embolization, 4 cases of conservative treatment of drugs, a week after the curettage . All 14 patients were cured and discharged. Conclusion Obstetrics should pay attention to the risk factors of placenta accreta, diagnosis as soon as possible, select the appropriate treatment options to reduce its complications and improve pregnancy outcomes.