摘要
目的:寻求一种既安全、有效又能保全育龄妇女生育功能的保守治疗胎盘植入方法。方法:通过37例临床病例分析,采取甲氨蝶呤+米非司酮合用治疗,对宫角的完全植入行二次剖宫取胎盘方法,保全子宫。结果:37例胎盘植入,35例保守成功,2例穿透性胎盘植入行子宫次全切除术。结论:在产妇生命体征平稳前提下采用甲氨蝶呤+米非司酮合用治疗,甚至二次剖宫取胎盘方法,治疗胎盘植入,保留子宫成为现实。
Objective：To explore the method of conservative treatment for placenta increta,that is safe,effective,and can protect the reproductive function for women of childbearing age.Method：With clinical analysis of 37 placenta increta,the research MTX combined with mifepristone,and used re-caesarean section to remove placenta for the complete placenta implantation of cornua uteri,to reserve utreus.Result：Among those 37 cases,35 cases were succeeded in censervative treatment,2 cases penetrative placenta were with subtotal hysterectomy to reserve uterus.Conclusion：With stable life signs of placenta increta,MTX combined with mifepristone,even using re-caesarean section to remove placanta of the complete placenta implantation patients,makes remaining uterus come true.
出处
《中外医学研究》
2014年第7期12-14,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胎盘植入
甲氨蝶呤
米非司酮
保守治疗
Placenta increta
Methotrexate
Mifepristone
Conservative treatment
