摘要
近年来随着剖宫产率的上升,剖宫产术后再次妊娠的不断增多,疤痕子宫再次妊娠并发症亦不断增加,对于有剖宫产史的患者,子宫下段疤痕是胎盘绒毛植入的危险因素,易出现早期绒毛胎盘植入,在误诊早孕行人流时往往发生严重出血,在中孕引产后常有胎盘滞留、清宫术会发生致命性大出血,以及晚孕产后或剖宫产术时剥离胎盘困难并迅猛出血,均可能导致子宫切除等后果。本文通过对我院发生的三例胎盘植入子宫剖宫产疤痕的诊治经过进行分析,以总结胎盘植入子宫剖宫产疤痕的早期诊断方法及治疗方法。
Recent years,with the rise of cesarean section rate,pregnancy after cesarean section keep increasing.Therefore pregnancy complications of scar uterine is increasing too.For those patients who has cesarean section history,lower uterine segment scar is the risk factor of implanted placenta villi which easily induces early implanted villous placenta.It would burst with severe bleeding when doing artificial abortion after misdiagnosed with early pregnancy.Retention of placenta often happens when inducing abortion in second trimester.In this situation,however, lethality bleeding may happen if doing complete curettage of uterine cavity.It is difficulty to strip placenta or may cause hemorrhage after delivery or cesarean section.All those situation could cause total hysterectomy,etc.In this paper,three uterine cesarean section cases of implanted placenta were treated and analysis.And the methods to early diagnosis and treat scar uterine after cesarean section with implanted placenta were summarized in this article.
关键词
胎盘植入
子宫剖宫产疤痕
早期诊治方法
implanted placenta scar uterine after cesarean section the methods to early diagnosis and treat
