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目的探讨保守法—天花粉针剂联合生化汤加减治疗产后胎盘植入的作用。方法我院妇产科2005年4月～2011年5月期间足月分娩及中期引产的孕妇中有19例出现胎盘植入,确诊后实施天花粉针剂联合生化汤加减的治疗方法,经彩超检查胎盘及子宫情况,并观测血清中HCG(β单位)含量。结果 17例患者成功治愈,其余2例患者转为子宫次全切除法治疗。(16.1±8.2)天后胎盘排出,(17.4±6.2)天血清中HCG(β单位)含量降至正常。结论保守法—天花粉针剂联合生化汤加减治疗产后胎盘植入有效。
Objective To investigate the effect of conservative treatment - Tianluo injection combined with Shenghua Decoction on postpartum placenta accreta. Methods In our hospital from April 2005 to May 2011, 19 cases of full-term labor and mid-term induction of labor occurred in 19 cases of placenta accreta, diagnosis and treatment of combination of TCS combined with biochemical Decoction treatment by color Doppler ultrasound examination of the placenta And uterus, and observe the serum HCG (β unit) content. Results 17 patients were successfully cured, and the remaining 2 patients were treated by subtotal hysterectomy. (16.1 ± 8.2) days after placental discharge, (17.4 ± 6.2) days serum HCG (β units) decreased to normal. CONCLUSION: Conservative method-Tianzhu injection combined with Shenghua Decoction can effectively treat postpartum placenta accreta.