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在临床遇到葡萄胎、瘢痕子宫合并妊娠、胎盘粘连等,为了避免清宫手术时子宫穿孔,近年来作者采用在B超监测下进行清宫手术,效果满意。现报道如下。 1.资料与方法 清官手术310人次,其中葡萄胎患者15人次,包括第一次清宫6人次,第二次清宫6人次,随访确诊为侵蚀性葡萄胎3例,3例中均侵及浅肌层;作第三次清宫。瘢痕子宫中期妊娠引产术后胎盘不完整而清官20人,其中子宫体部剖宫产3例。足月分娩胎盘粘连,徒手剥离不完全4人,剖宫产术后晚期产后出血3人。
In the clinical encounter mole, scar pregnancy and placenta accreta, placenta accreta, etc., in order to avoid uterine perforation of the Qing operation, in recent years, the authors used in the B-monitoring of the Qing surgery, the effect is satisfactory. Report as follows now. 1. Materials and Methods Open surgery 310 people, including 15 patients with hydatidiform moles, including the first 6 times the Qing, the second Qing 6 people were followed up for the diagnosis of invasive hydatidiform mole in 3 cases, 3 cases were invading and shallow muscle Layer; for the third Qing. Cervical uterus pregnancy induced abortion after incomplete induction of placenta and clean government 20, including 3 cases of uterine cesarean section. Full-term delivery of placenta adhesion, incomplete hand peeling incomplete 4, 3 postpartum hemorrhage after cesarean section.