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穿透性胎盘植入5例临床分析及文献复习
引用本文:梁茂芸,陈智明.穿透性胎盘植入5例临床分析及文献复习[J].安徽卫生职业技术学院学报,2013,12(2):103-104.
作者姓名:梁茂芸  陈智明
作者单位:梁茂芸 (池州市第二人民医院,安徽,247000);陈智明 (池州市第二人民医院,安徽,247000);
摘    要:目的:探讨穿透性胎盘植入的诊治思路及预防措施。方法:回顾性分析5例穿透性胎盘植入患者的临床资料。结果:5例均有剖宫产史,术中均明确诊断。例2术中见宫体左侧陈旧疤痕破裂,胎盘种植肌层并穿出,行破裂口部分植入胎盘及宫壁切除修补,保留子宫。其余病例术中均见胎盘从子宫下段老疤痕处穿出,未穿透浆膜层,表面血管丰富怒张,术中直接切除子宫。术后病理均证实胎盘植入。结论:穿透性胎盘植入产前诊断困难,对于有高危因素的患者应高度警惕胎盘植入可能,做到产前明确诊断是改善预后的关键,降低穿透性胎盘植入风险的最好方法是预防。

关 键 词:穿透性胎盘植入  诊治思路  预防措施

Clinical analysis and literature review of 5 patients of penetrating placenta arcreta
Chizhou,nd People's HospitaL Chizhou,Anhui LIANG Mao-yun,CHEN Zhi-ming.Clinical analysis and literature review of 5 patients of penetrating placenta arcreta[J].Journal of Anhui Heaith Vocational & Technical College,2013,12(2):103-104.
Authors:Chizhou  nd People's HospitaL Chizhou  Anhui LIANG Mao-yun  CHEN Zhi-ming
Institution:Chizhou 2nd People's HospitaL Chizhou 247000,Anhui LIANG Mao-yun, CHEN Zhi-ming
Abstract:Objectives:To discuss the diagnosis thought and preventitive measures of penetrating placenta arcreta. Methods:It was reviewed that the clinical treatment and care material of 5 cases penetrating placenta accreta at our hospital.Results:The five patients had the history of cesarean delivery without exception.Of the 5 cases above.h was seen in the operation of C2 that part of the placenta invaded in or through the myometrium and was inseparable from the uterine wall along the old peration scar,so placenta of invasion was repaired through the myometrium was incised,uterine wall and uterus was reserved in view of her strong desire for future placenta invaded through the myometrium,but not through fertility seros together with rich .Along the old peration scar, vein on the uterus surface, hysterectomy with the placenta left in situ were perform in the other four patient.The diagnosis of penetrating placenta arcreta was all testified by postoperative pathological diagnosis.Conclutions : Penetrating placenta arcreta is difficult to diagnose before operation, the probability of placenta arcreta should be alert for those suspected patient high-risk factors and correct pre- delivery diagnosis is crucial to prognosis. Taking prevention measures is the way to reduce the risk of penetrating placenta arcreta.
Keywords:Penetrating placenta accreta  Thought of measures with best diagnosis-making and treatment-giving  Prevention
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