前置胎盘合并胎盘植入27例临床分析

目的了解前置胎盘合并胎盘植入的高危因素、诊断及处理方法。方法对我院2006～2010年3年收治的前置胎盘合并胎盘植入27例资料进行临床分析。结果胎盘植入27例,保守治疗成功20例,子宫切除7例,新生儿重度贫血1例,死亡2例,无孕产妇死亡。结论前置胎盘合并胎盘植入可发生严重的产时大出血,彩色多普勒超声可提高产前诊断率并对临床处置非常有价值。产时有效控制出血是治疗的关键,子宫去留应根据胎盘植入面积、出血多少、生育要求等因素综合判断。

The clinical analysis of 27 cases of placenta previa with accreta

Objective To investigate the high risks,diagnosis and management of placenta previa with accreta.Methods We retrospectively analyzed all the 27 cases of placenta previa accreta hospitalized in our hospital from 2006 to 2010.Results Through the 27 cases of placenta previa accreta,there were 20 cases treated successfully with conservative treatment,while 7 cases with hysterectomy,and there were 1 case of neonatal severe anemia,2 cases of neonatal death,no mateanal mortality.Conclusion It can happen serious he...