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目的探讨植入性胎盘的相关因素、诊断、治疗情况。方法对12例胎盘植入患者进行临床分析。结果12例中,子宫切除9例,2例行局部缝合止血,保守子宫,1例行子宫全切+部分膀胱切除+膀胱修补术。结论胎盘植入与不良生育史、胎盘位置异常、子宫内膜病变密切相关。产前诊断胎盘植入是改善预后的关键。当胎盘植入并发大出血时需行子宫切除,对非急症、有生育要求的患者可行保守治疗。
Objective To investigate the related factors, diagnosis and treatment of implanted placenta. Methods 12 cases of placenta accreta patients were analyzed. Results In 12 cases, 9 cases were treated by hysterectomy, 2 cases were treated by local suture and stop bleeding, conservative uterus, 1 case total hysterectomy + partial cystectomy + bladder repair. Conclusion The placenta accreta is closely related to the history of poor birth, abnormal placenta location and endometrial lesions. Prenatal diagnosis of placenta accreta is the key to improving prognosis. When the placenta accreta bleed hemorrhage required hysterectomy, non-emergency, fertility requirements of patients with conservative treatment.