摘要
植入性胎盘是引起产后出血的少见病因,处理不当可导致产妇死亡。本文中作者综述了该病的诊断方法,包括多种实验室检查手段如母血清甲胎蛋白、彩色超声多普勒、磁共振图像和病理诊断,并概括了治疗该病的诸多方法,如一般处理、以化疗药物和米非司酮行保守治疗、宫腔填塞及Sengstaken Blakemore管压迫止血、动脉结扎、B Lybch外科缝线术、宫腔镜术、超选择性靶血管栓塞术、子宫动脉栓塞术和子宫全切、次全切除术。
Placenta accreta is an infrequent cause of po stpartum hemorrhage and a significant contributor to maternal morbidity. In this article, we reviews many methods incl uding several laboratory examinations for diagnosing them, such as maternal seru m alpha-fetoprotein level, color Doppler US, magnetic resonance imaging and pat h ologic diagnosis. We also list out different ways and new techniques to treat th is disease. They consist of common methods, conservative treatment with chemothe rapy and mife pristone, packing of uterus cavity and Sengstaken-Blakemore tube, ligation of t h e arteries, B-Lynch surgical technique, hysteroscopy, uterine artery embolizati on and hysterectomy.
出处
《现代医学》
2005年第2期136-138,共3页
Modern Medical Journal
