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目的探讨瘢痕子宫妊娠胎盘植入的诊断、产后处理。方法对我院2001-2011年来26例确诊瘢痕子宫妊娠胎盘植入病例进行回顾性分析。结果瘢痕子宫妊娠胎盘植入阴道产2例,择期剖宫产24例。产后出血>1000ml 12例。宫腔填塞纱布13例,子宫动脉介入栓塞术6例,子宫切除术4例。结论疤痕子宫妊娠胎盘植入产后出血大多凶险,以择期剖宫产为宜,对产后出血的处理要快速、有效,及时纠正失血性休克,尽量保留子宫。
Objective To investigate the diagnosis and postpartum treatment of placenta accreta in uterine scar. Methods A retrospective analysis of 26 placenta accreta cases of uterine scar pregnancy in our hospital from 2001 to 2011 was performed. RESULTS: 2 cases of vaginal placenta accreta in scar pregnancy and 24 cases of elective cesarean section. Postpartum hemorrhage> 1000ml in 12 cases. 13 cases of intrauterine gauze gauze, uterine artery embolization in 6 cases, 4 cases of hysterectomy. Conclusion The placenta accreta in the scar pregnancy is mostly dangerous for placenta accreta after delivery. Elective cesarean section is appropriate. The treatment of postpartum hemorrhage should be rapid and effective, and the hemorrhagic shock should be corrected timely to keep the uterus.