保守治疗侵入性胎盘20例临床分析

目的：探讨保守治疗侵入性胎盘的方法、效果。方法：回顾性分析本院药物保守性20例侵入性胎盘的病例资料。结果：20例患者中自然分娩诊断胎盘侵入的13例采用口服米非司酮＋生化汤，疗程1～4次，剖宫产术中诊断胎盘侵入7例的采用局部注射MTT＋口服生化汤，两组中17例于术后产后4周内自行排出残留组织，3例行清宫术，无产后大出血、严重感染及手术切除子宫病例，治愈率100％。结论：对产时及术中可控制出血的侵入性胎盘的患者，若年青、有保留子宫要求者，可在严密监护下行米非司酮、MTX辅以生化汤的保守性治疗。

Clinical analysis on treating 20 cases of invasive placenta by conservative treatment

Objective： To investigate the method, effects of treating invasive placenta by conservative treatment. Methods： Analyzing the datas of 20 cases with invasive placenta which treated in our hospital. Results： 13 patients of the 20 cases were diagnosed invasive placenta during natural childbirth treated with mifepristone plus Shenghua decoction, course as one to four times, 7 patients in these 20 cases were diagnosed invasive placenta during cesarean section treated with MTX injection plus Shenghua decoction, 17 cases of two groups self-discharge residual tissue followed 4 weeks surgery, 3 cases with curettage, no post-partum haemorrhage, serious infections and hysterectomy cases, the cure rate was 100%. Conclusion： Conservative treatment with mifepristone, MTX injection and Shenghua decoction for invasive placenta patients which bleeding can be controlled during intrapamma and intraoperative.