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目的:探究观察前置胎盘合并胎盘植入患者的临床特点以及诊治效果。方法:随机选取49例前置胎盘合并胎盘植入患者49例,分析其发病原因以及危险性、临床特点以及诊断治疗方法。结果:49例患者,18例为经阴道生产,31例患者为剖宫产,平均出血量为600ml。保留子宫患者为37例,子宫切除的患者为12例,切除子宫的患者都为前置胎盘而且大部分性胎盘植入,伴随穿透或者大出血难以控制。所有患者在手术治疗后,均未继续出现出血现象,都治愈后出院。结论:在术前需要给予患者全面仔细的检查,充分的做好术前抢救的准备,如果情况十分危险,切除子宫保证生命安全,如果部分前置胎盘合并胎盘植入患者可以保留子宫。
Objective: To investigate the clinical features and diagnosis and treatment of patients with placenta accreta placenta accreta. Methods: Forty-nine cases of placenta accreta placenta combined with placenta accreta were randomly selected from 49 cases. The etiology, risk, clinical characteristics and diagnosis and treatment of 49 placenta accreta were analyzed. RESULTS: Of the 49 patients, 18 were vaginal and 31 were cesarean with an average of 600 mL. Retained uterine patients were 37 cases, hysterectomy patients were 12 cases, hysterectomy patients are placenta previa and most of the placenta accreta, with the penetration or bleeding is difficult to control. All patients after surgery did not continue bleeding, were cured and discharged. Conclusion: Patients should be carefully examined before operation and fully prepared for preoperative rescue. If the situation is very dangerous, the uterus should be removed to ensure the safety of life. If part of the placenta previa combined placenta accreta patients can retain the uterus.