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目的探讨胎盘植入手术治疗,术后口服米非司酮的治疗方法。方法将剖宫产中发现的2例胎盘植入者采取植入灶局部切除缝合术,术后第一天起予米非司酮25mg口服14d,观察阴道出血,血β-HCG,经B超了解宫内情况,对患者随访月经。结果术切口甲级愈合,用药2周后血β-HCG降至正常,产后42dB超检查宫腔形态正常,子宫内膜正常。随访1年半月经正常。结论手术结合米非司酮治疗胎盘植入安全有效。
Objective To investigate the surgical treatment of placenta accreta and the treatment of oral mifepristone. Methods Two cases of placenta accreta found in cesarean section were treated with local excision and suture. After the first day of operation, 25 mg of mifepristone was administered orally for 14 days. Vaginal bleeding and blood β-HCG were observed. Understand intrauterine conditions, follow-up of patients with menstruation. Results The incision was healed by grade A, and the blood β-HCG decreased to normal after 2 weeks of treatment. The morphology of the uterine cavity was normal after 42dB of postpartum examination and the endometrium was normal. Follow-up 1 and a half months, normal menstruation. Conclusion Combining mifepristone with placenta accreta is safe and effective.