CAJ | 학술논문

目的探讨植入性胎盘的临床特点、诊断及治疗.方法回顾性分析1989～2006收治的13例植入性胎盘病例.结果 13例患者中,有前次剖宫产史组患者保守治疗成功率为0%(0/5),低于非前次剖宫产组的100%(8/8),P＜0.05:MTX加用加味生化汤治疗部分性置入性胎盘成功率达100%.结论剖宫产是植入性胎盘发病的高危因素且预后较差,加味生化汤辅助治疗植入性胎盘疗效满意.
목적 탐토식입성태반적림상특점、진단급치료.방법 회고성분석1989～2006수치적13례식입성태반병례.결과 13례환자중,유전차부궁산사조환자보수치료성공솔위0%(0/5),저우비전차부궁산조적100%(8/8),P＜0.05:MTX가용가미생화탕치료부분성치입성태반성공솔체100%.결론 부궁산시식입성태반발병적고위인소차예후교차,가미생화탕보조치료식입성태반료효만의.
Objective To investigate the clinical characteristics, diagnosis and treatment of placenta increta.Methods A retrospective analysis was carried out on 13 admitted cases of placenta increta from 1989～2006. Results Among the 13 cases analysed, 5 cases with a history of Caesarian section had a 0% success rate of treatment with conservative care (0/5), 100% less than that of cases with no history of Caesarian section (8/8), P＜0.05; the success rate of treatment of partial placenta increta with methotrexate with Jia Wei Sheng Hua Tang was 100%. Conclusion Caesarian section is a risk factor of placenta increta, and its prognosis is poor; however, Jia Wei Sheng Hua Tang has proven satisfactory as a supplementary treatment for placenta inereta.