利凡诺引产与前置胎盘

INDUCED LABOR WITH RIVANOL AND PLACENTA PREVIA

19例发生在用利凡诺计划生育引产中的前置胎盘,25岁至30岁14例占37.7％,经产妇17例占89.5％;其中绝大多数有人工流产史。引产后阴道流血是诊断该病的主要依据,发生在引产后24小时至48小时者10例,占52.6％。经B超检查12例,确诊12例。经阴道处理15例占78.9％;剖宫取胎+卵管结扎术4例占21.1％。结合文献对利凡诺引产中出现前置胎盘的诊断要点和处理原则进行讨论,说明利凡诺引产既安全可靠又具实用的优点,值得采用。

19 cases of placenta previa occurred caused by induced labor of family planning with rivanol, 14 cases occurred among those who were 25-30 years old, accounting for 37. 7%. 17 cases were pluripara, accounting for 89.5%. Most of them experienced artificial abortion. After induced labor,colporrhagia is the main basis of diagnosis. 10 cases of colporrhagia occurred after 24-48 hours of induced labor. 12 cases were examined by B-ultrasound and 12 cases were confirmed . 15 cases experienced the management of vagina, accounting for 78.9%. 4 cases experienced celiohysterotomy to take out the fetus and ligation of oviduct. The diagnosis and management of placenta previa of induced labor with rivanol were discussed combined with the literature and indicated that induced labor of family rivanol was safe and reliable and worth to be adopted.