中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
7期
12-13,14
,共3页
胎盘植入%甲氨蝶呤%米非司酮%保守治疗
胎盤植入%甲氨蝶呤%米非司酮%保守治療
태반식입%갑안접령%미비사동%보수치료
Placenta increta%Methotrexate%Mifepristone%Conservative treatment
目的：寻求一种既安全、有效又能保全育龄妇女生育功能的保守治疗胎盘植入方法。方法：通过37例临床病例分析，采取甲氨蝶呤+米非司酮合用治疗，对宫角的完全植入行二次剖宫取胎盘方法，保全子宫。结果：37例胎盘植入，35例保守成功，2例穿透性胎盘植入行子宫次全切除术。结论：在产妇生命体征平稳前提下采用甲氨蝶呤+米非司酮合用治疗，甚至二次剖宫取胎盘方法，治疗胎盘植入，保留子宫成为现实。
目的：尋求一種既安全、有效又能保全育齡婦女生育功能的保守治療胎盤植入方法。方法：通過37例臨床病例分析，採取甲氨蝶呤+米非司酮閤用治療，對宮角的完全植入行二次剖宮取胎盤方法，保全子宮。結果：37例胎盤植入，35例保守成功，2例穿透性胎盤植入行子宮次全切除術。結論：在產婦生命體徵平穩前提下採用甲氨蝶呤+米非司酮閤用治療，甚至二次剖宮取胎盤方法，治療胎盤植入，保留子宮成為現實。
목적：심구일충기안전、유효우능보전육령부녀생육공능적보수치료태반식입방법。방법：통과37례림상병례분석，채취갑안접령+미비사동합용치료，대궁각적완전식입행이차부궁취태반방법，보전자궁。결과：37례태반식입，35례보수성공，2례천투성태반식입행자궁차전절제술。결론：재산부생명체정평은전제하채용갑안접령+미비사동합용치료，심지이차부궁취태반방법，치료태반식입，보류자궁성위현실。
Objective:To explore the method of conservative treatment for placenta increta,that is safe,effective,and can protect the reproductive function for women of childbearing age.Method:With clinical analysis of 37 placenta increta,the research MTX combined with mifepristone,and used re-caesarean section to remove placenta for the complete placenta implantation of cornua uteri,to reserve utreus.Result:Among those 37 cases,35 cases were succeeded in censervative treatment,2 cases penetrative placenta were with subtotal hysterectomy to reserve uterus.Conclusion:With stable life signs of placenta increta,MTX combined with mifepristone,even using re-caesarean section to remove placanta of the complete placenta implantation patients,makes remaining uterus come true.
