36 cases of clinical analysis of placenta accreta.docVIP

 PAGE \* MERGEFORMAT 4 36 cases of clinical analysis of placenta accreta [Keywords:] Placenta In recent years, the incidence of implantation of the placenta clear upward trend, often lead to serious maternal their production, postpartum hemorrhage, uterine perforation and secondary infection, and even life-threatening maternal. This study of 36 cases of placenta accreta patients were retrospectively analyzed to explore the incidence and treatment related factors. Are reported below. 1 Data and methods 1.1 General Information Maternity Hospital, Ningbo University School of Medicine from January 2001 to December 2006 a total of 8893 patients with hospital delivery cases, through the hospital computer database and manual search and check cards will be implanted in a total of 36 cases of maternal placenta, as the implanted group ; through the birth registration records and will not merge the same period in delivery of the placenta implanted in the maternal 8857 parturients as a non-implanted group, using case-control study, retrospective analysis of the possibility of placenta accreta risk factors, including: age, abortion frequency, The output frequency of the history of cesarean section, placenta previa, uterine hypoplasia. 1.2 Diagnostic Criteria Pathological diagnosis of placenta accreta the gold standard. According to placental villi invade the myometrium of the degree of placenta accreta will be divided into three categories [1]: adhesion of the placenta (villi attached to myometrium), placenta accreta (villi invade the myometrium), penetrating the placenta (villi penetrate myometrium to reach serosa surface). Pathological diagnosis of 36 cases were confirmed muscle invasive villi not penetrate the uterine muscle wall up to serosal surface of placenta accreta. 1.3 Diagnosis and treatment of All mothers were taken to massage the uterus under in intravenous infusion, intravenous infusion of oxytocin 20 IU, Palace Lower injection of oxytocin 20 ~ 40 I