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目的:探讨胎盘植入的原因、治疗及预防。方法:回顾性分析32例胎盘植入的病例资料。结果:人工流产及剖宫产等宫腔操作与胎盘植入有密切关系,治疗以保守性手术+中药治疗14例,单纯中药治疗10例,介入+中药治疗6例,子宫次全切除术2例,患者均痊愈,无死亡病例。结论:重视胎盘植入的高危因素,做到提前预防产后出血,及时采取积极措施控制出血,治疗应根据病情,以个体化原则制定不同的治疗方案,最大限度地保留患者生育功能。
Objective: To investigate the reasons, treatment and prevention of placenta accreta. Methods: A retrospective analysis of 32 cases of placenta accreta cases. Results: Uterine cavity operation such as abortion and cesarean section was closely related to placenta accreta. There were 14 cases treated with conservative surgery + traditional Chinese medicine, 10 cases treated with traditional Chinese medicine alone, 6 cases treated with traditional Chinese medicine and 6 cases treated with subtotal hysterectomy Cases, patients were cured, no deaths. Conclusion: The high risk factors of placenta accretion should be paid attention to, so as to prevent postpartum hemorrhage in advance and to take active measures to control hemorrhage in time. The treatment should be based on the individual condition to formulate different treatment plans to maximize the patient reproductive function.