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目的了解前置胎盘合并胎盘植入的高危因素、诊断及处理方法。方法对我院2006～2010年3年收治的前置胎盘合并胎盘植入27例资料进行临床分析。结果胎盘植入27例,保守治疗成功20例,子宫切除7例,新生儿重度贫血1例,死亡2例,无孕产妇死亡。结论前置胎盘合并胎盘植入可发生严重的产时大出血,彩色多普勒超声可提高产前诊断率并对临床处置非常有价值。产时有效控制出血是治疗的关键,子宫去留应根据胎盘植入面积、出血多少、生育要求等因素综合判断。
Objective To understand the risk factors, diagnosis and treatment of placenta accreta placenta accreta. Methods The clinical data of 27 cases of placenta accreta combined placenta accreta treated in our hospital from 2006 to 2010 were analyzed. Results There were 27 cases of placenta accreta, 20 cases of conservative treatment, 7 cases of hysterectomy, 1 case of severe anemia in newborn and 2 cases of death without maternal mortality. Conclusion The placenta accreta placenta accreta can produce severe intrapartum hemorrhage. Color Doppler ultrasound can improve the prenatal diagnosis rate and is very valuable for clinical treatment. Effective control of bleeding during delivery is the key to treatment, the uterus to stay should be based on placenta accreta, how much bleeding, fertility requirements and other factors comprehensive judgment.