摘要
目的:探讨胎盘局部注射MTX或肌肉注射MTX、口服米非司酮及中药联合治疗胎盘植入及胎盘粘连的疗效。方法:根据胎盘植入或胎盘粘连面积的大小,在B超引导下经腹胎盘穿刺注射MTX或肌肉注射MTX,同时口服米非司酮及中药生化汤(加减)。结果:采用上述治疗的54例中,成功48例,占89%;失败6例,占11%。结论:胎盘局部注射MTX或肌肉注射MTX、口服米非司酮及中药联合治疗胎盘植入及胎盘粘连,可最大限度地保留子宫,从而保留了生育功能。
Objective: To study the clinical application of methotrexate,mifepristone connecting with bi-ochemistry soup in both placenta implantation and placenta adjoin. Method: According to the area of placenta implantation or placenta adjoin, MTX is injected into placenta through belly with the help of B ultrasonic or into muscle . In the meanwhile, patients take both mifepristone and biochemistry soup. Result: 48 cases are successful out of 54 cases, covering 89%, whereas the rest fails, covering 11%. Conclusion: MTX is injected into placenta through belly with the help of B ultrasonic or into muscle connecting mifepristone and biochemistry soup in both placenta implantation and placenta adjoin, which can retain the uterus to the great extent. Consequently, it can retain the fertile ability.
出处
《河北医学》
CAS
2007年第10期1169-1171,共3页
Hebei Medicine
关键词
胎盘植入
胎盘粘连
MTX
米非司酮
生化汤
Placenta implantation
Placenta adjoin methotrexate
Mifepristone
Biochemistry soup