摘要
目的:探讨胎盘植入的病因、类型、诊断、治疗及预防。方法:对济宁医学院附属医院10个月来确诊为胎盘植入的15例病例进行回顾性分析。结果:7例为侵入性胎盘,6例为植入性胎盘,2例为穿入性胎盘;11例阴道流血≥500ml;7例行子宫切除或次全切除术,8例行保守性治疗。结论:植入性胎盘的治疗方法根据病情、年龄及对生育的要求而采取不同的治疗方法。胎盘植入后易发生产后出血,其处理应根据病变特点,采取手术治疗或保守治疗。
Objective： To discuss pathogeny as well related methods for diagnosis prevention and treatment of plalenta increta. Methods： Retrospective analysis of the information about cases of plalenta increta in the last 10months in Jining Medical college Affiliated Hospital. Results：There are 15 cases in total, include 6 cases of plalenta increta ,7 cases of plalenta accreta,2 cases of plalenta percreta, llcases have vaginal bleeding more than 500ml and 8cases by operation of subtotal hysterectomy. Conclusion ： The methods for treatment of plalenta increta should be different according to their affection,age and reproductive expectation. It is sasy to occur postpartum hemorrhage for placenta increta, its treatment includes operation or expectant treatment.
