Conservative surgery combined with implantation of mifepristone treatment for partial clinical analysis of 20 cases of placenta.docVIP

 PAGE \* MERGEFORMAT 10 Conservative surgery combined with implantation of mifepristone treatment for partial clinical analysis of 20 cases of placenta [Abstract] Objective To investigate the treatment of conservative surgery combined with mifepristone in the effectiveness of partial placenta implantation. Methods 20 cases of cesarean section in the diagnosis of partial placenta implanted in patients undergoing conservative surgery in the implementation, operation 24 h mifepristone 50 mg, every 12 hours for 3 times, then 25 mg, every 12 hours for 7 days. Determination of serum hCG a week and B-regular pelvic examination, observation of vaginal bleeding tidal conditions and menstrual recovery time. Results in 20 patients within 3 weeks decreased serum hCG to normal in 2 months B-ultrasound uterus were normal and no curettage in 1 case, no late postpartum hemorrhage and puerperal infection are 3 to 6 months period in complex flows, received satisfactory results, were discharged. Conclusion Conservative surgery combined with implantation of mifepristone treatment of partial placenta effectively, avoiding the conventional hysterectomy to protect the health of women and practical in some less bleeding when the placenta implanted. [Keywords:] conservative surgical implantation of mifepristone partial placenta Placenta accreta is a rare obstetric complication of the critically ill, can cause fatal postpartum hemorrhage and direct threat to the lives of mothers. Hysterectomy take more prior treatment, especially in combination with placenta previa placenta accreta. However, hysterectomy are often not accepted by young patients, and thus to explore a safe and effective treatment of retained placenta and uterine implantation some of the methods is necessary. in our hospital from January 2002 to August 2008 cesarean section patients with combined conservative surgery after mifepristone treatment of 20 cases of partial placenta implants, received satisfactory re