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目的探讨植入性前置胎盘的临床治疗。探讨子宫动脉栓塞术(UAE)的临床应用。方法对2007年1月—2011年5月收住院的41例植入性前置胎盘的病例资料作回顾性分析。结果 41例患者中23例行传统保守治疗成功;15例采用了子宫动脉栓塞术治疗,保住了子宫;3例行子宫切除术。结论治疗植入性胎盘以保守治疗为主,但是对于难治性植入性胎盘,行双侧子宫动脉栓塞术+MTX介入治疗,具有止血快、创伤小、保留子宫等优点。
Objective To investigate the clinical treatment of implanted placenta previa. To investigate the clinical application of uterine artery embolization (UAE). Methods The data of 41 cases of implanted placenta previa admitted to our hospital from January 2007 to May 2011 were retrospectively analyzed. Results Twenty-three of 41 patients underwent traditional conservative treatment successfully. Fifteen patients underwent uterine arterial embolization and retained the uterus. Three patients underwent hysterectomy. Conclusions The treatment of implantable placenta is mainly conservative treatment. However, for the treatment of intractable placenta accreta, bilateral uterine artery embolization + MTX intervention has the advantages of quick hemostasis, less trauma and uterus preservation.