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目的通过对完全性前置胎盘伴胎盘植入手术成功保留子宫患者的预后进行临床分析,进一步探讨对此类患者的治疗方法,从而减少对母婴的危害。方法选取2012年1月~2013年1月期间在我院确诊的完全性前置胎盘伴胎盘植入、且经我院妇产科手术治疗成功保留子宫的30例患者作为研究对象,对患者手术后阴道流血量、宫底高度进行观察,并于患者出院后进行跟踪随访患者月经复潮的时间、血HCG值下降的程度、复查超声及术后晚期出血、产褥感染、滋养细胞发生情况,以及再次妊娠等预后相关临床因素,并对上述因素进行归纳、分析和总结。结果 30患者93%子宫复旧良好;平均月经复潮的时间在正常范围内;各项相关检查及化验追踪显示术后患者恢复良好;子宫动脉结扎术及B-Lynch缝合术的产后出血及产后恶露方面两者无明显差别。结论完全性前置胎盘伴胎盘植入可通过手术治疗,保留完整的子宫,且预后良好。
Objective To investigate the prognosis of patients with uterus successfully preserved by placenta accreta with complete placenta accreta and to further explore the treatment of such patients so as to reduce the harm to maternal and infant. Methods From January 2012 to January 2013 in our hospital confirmed complete placenta previa placenta accreta with placenta accreta and obstetrics and gynecology surgery in our hospital successfully retained the uterus of 30 patients as the research object, Vaginal discharge, post-vaginal bleeding, the height at the end of the palace were observed, and patients were followed up after discharge from patients with menstruation tide time, the degree of decline in blood HCG values, ultrasound and late postoperative bleeding, puerperal infection, trophoblast, Prognosis and other pregnancy-related clinical factors, and summarized the above factors, analysis and summary. Results Ninety-three percent of the patients had good uterine involution. The mean time of menstruation was within the normal range. All the related tests and laboratory tests showed that the postoperative patients recovered well. The uterine artery ligation and B-Lynch suture postpartum hemorrhage and postpartum lochia No significant difference between the two aspects. Conclusion Complete placenta previa placenta accreta can be surgically treated to preserve the intact uterus with good prognosis.