Clinical analysis of 25 cases of placenta accreta.docVIP

 PAGE \* MERGEFORMAT 9 Clinical analysis of 25 cases of placenta accreta [Abstract] Objective To investigate factors related to the incidence of placenta accreta, diagnosis and treatment. Methods 25 cases of placenta accreta were analyzed retrospectively and the literature was reviewed. Results 25 cases were pathologically confirmed samples were sent for the Placenta hospitalization 7 ~ 14 d, were cured. newborns were alive, including 1 case of severe asphyxia. Conclusions The occurrence of placenta accreta and placenta previa, cesarean section history, history of repeated abortion related prenatal diagnosis improve their prognosis. Conservative treatment of placenta accreta is possible, but totally implanted placenta and implantation depth of the degree through serosa muscularis or with active bleeding should be determined subtotal hysterectomy surgery. [Keywords:] placenta accreta; diagnosis; treatment; hysterectomy Placenta accreta is a severe and rare obstetric complications of pregnancy, often difficult to diagnose in the prenatal, intrapartum can cause postpartum hemorrhage, infection, severe cases can be life threatening. With abortion, medical abortion, induced labor, cesarean section such as the increase in uterine surgery, placenta accreta was significantly higher than in the past the trend [1]. In this paper, 25 patients in our hospital medical records of patients with placenta accreta were analyzed to explore the common causes of placenta accreta, early diagnosis and effective treatment measures. 1 Clinical data 1.1 General Information l January 1999 ~ July 2008 in our hospital 25 patients with placenta accreta, aged 25 to 41 years, mean 35 years; which primipara in 5 cases, 20 cases by maternal cases were multiple pregnancy .25 , 22 patients had history of induced abortion, up to 2 cases of induced abortion 5; a history of cesarean section in 3 cases, 5 cases of second trimester abortion history of .25 patients, 23 cases of partial p