摘要
①目的 评价对植入性胎盘行保守性治疗的安全性及有效性。②方法 对 8例剖宫产术中发现的植入性胎盘病人 ,采用钳夹、搔刮、局部切除或宫腔填塞纱布卷等方法治疗 ,无效者行子宫切除术 ;6例阴道分娩后发现胎盘植入者 ,给予米非司酮口服 ,5～ 7d后行钳刮术。③结果 8例剖宫产手术病人 6例行保守性手术治疗 ,2例行次全子宫切除术 ;6例服用米非司酮治疗的病人 ,均成功地行钳刮术。④结论 对植入性胎盘行保守性治疗安全、有效 ,米非司酮的给药方法。
Objective To evaluate the safety and efficacy of conservative management for placenta increta/accreta. Methods Eight patients found to have placenta increta/accreta during caesarian section were managed by either clamping, scraping, local resection or cavity packing using rolle, and hysterectomy was performed for those who failed the above treatments. Another six patients who had experienced vaginal delivery were treated with mifepristone, and underwent curretage 5-7 days later. Results In the caesarian section group, conservative operations were performed in six patients, and subtotal hysterectomy in two. For mifepristone group, curretage was successfully done in all the six patients. Conclusion The conservative management is safe and effective in the treatment of placenta increta/accreta, but a further study is required on the medication and time of mifepristone.
出处
《齐鲁医学杂志》
2004年第5期398-399,401,共3页
Medical Journal of Qilu
关键词
胎盘
侵入性
产后出血
治疗结果
placenta accreta
postpartum hemorrhage
treatment outcome
