Mifepristone Clinical analysis of 20 cases of placenta accreta.docVIP

 PAGE \* MERGEFORMAT 5 Mifepristone Clinical analysis of 20 cases of placenta accreta [Keywords:] placenta accreta, mifepristone treatment Placenta accreta is a rare complication of obstetrics and gynecology, but because of pregnancy after miscarriage, pregnancy, cesarean section, uterine pregnancy after surgery increased, so that the incidence has increased in recent years. Our hospital in May 2005 ~ May 2008, treatment of placenta accreta using mifepristone achieved satisfactory results, are as follows. 1 Clinical data 1.1 General information on the placenta implants in 20 patients, the youngest 22 years old, maximum 36 years old, with an average of 26 years. 6 cases of induced abortion in the pregnancy, production of full term infants in 2 cases, 12 cases of cesarean section at term. The abortion before pregnancy at least 2 times the number of persons, up by over 6 times, the last to the second shortest time to pregnancy 3 months, the longest 2 years. 1.2 The case features 2 cases showed mid-pregnancy ultrasound fetal abnormalities, 4 patients required unplanned pregnancy, termination of pregnancy, amniotic rivanol line .6 Cases intravitreal injection of pregnancy induced labor abortion, the fetus can not peel the placenta after delivery, the line clamp is only removed about 2 / 3 of the placenta, and the rest scrape difficult .2 clamp production of full term infants and 12 cases of cesarean section, the baby is delivered After the end of injection of oxytocin Palace 20 IU, 5 min after cesarean section can not peel the placenta, found that some residues in hand to take the placenta and uterine adhesions close, can not continue to peel. 20 min after natural delivery at term placenta can not be delivered, found that artificial stripping part of the placenta in close adhesion, uterine ultrasound examinations showed residues, most about 6 cm × 5 cm × 4 cm, the smallest about 3 cm × 2 cm. 1.3 Treatment of suspected placenta accreta, should st