葡萄胎处理原则Grape Tyre treatment principle
- 来源:cfl
- 作者:cfl
- 更新日期:2019-07-22 20:52
- 点击:次
葡萄胎很少术前出血,预防清宫术中大出血才是重点。术前用米非司酮和MTX杀胚化疗,使滋养细胞全部或部分坏死,HCG大幅度下降后,再行清宫出血会明显减少。远比术后化疗效果好。如果术前杀胚化疗效果不理想,也要宫腹腔镜联合手术:先在腹腔镜下解剖子宫动脉
葡萄胎很少术前出血,预防清宫术中大出血才是重点。术前用米非司酮和MTX杀胚化疗,使滋养细胞全部或部分坏死,HCG大幅度下降后,再行清宫出血会明显减少。远比术后化疗效果好。如果术前杀胚化疗效果不理想,也要宫腹腔镜联合手术:先在腹腔镜下解剖子宫动脉用钛夹夹闭A再吸宫,术后确定不出血或放好cook球囊后,再放开子宫A,这样万无一失。根据病理决定下一步治疗。
Grape fetal bleeding is rarely preoperative, the prevention of massive bleeding is the focus. Preoperative chemotherapy with mifepristone and MTX to kill embryos causes all or part of the trophoblast. After the HCG is greatly reduced, the bleeding in the Qinggong will be significantly reduced. Far better than post-operative chemotherapy. If the preoperative embryogenic chemotherapy is not ideal, it is also necessary to perform combined laparoscopic surgery: first dissect the uterine artery under the laparoscope and clamp A with titanium clip and then suck the palace. After the operation, it is determined that there is no bleeding or after placing the cookie balloon, then release the uterus A. This is foolproof. According to the pathology, the next treatment is decided.
看完还想再了解一下,请加站长微信xjatrsa 即刻沟通!本文禁用于商业用途,转载需注名出处,否则追究法律责任!
- 相关文章
- ·怀孕6周血糖6.1高的厉害吗?
- ·关于温柔分娩
- ·产科新概念-水中分娩和睡眠分娩
- ·安太产科特色
- ·水中分娩的六大优势Six major advantages of wate
- ·前置胎盘治疗方法有哪些呢?What are the preplace
- ·这样才是科学备孕,你信吗?That's science. Can y
- ·红细胞回收可以用于产科出血Red blood cell recov
- ·葡萄胎处理原则Grape Tyre treatment principle
- ·怀孕6周+如何缓解孕吐?Pregnancy 6 weeks + how t
- ·前置胎盘是怎么一回事呢?目前有没有治疗前置胎盘
- ·安太胎膜早破
- ·孕妇吐得厉害怎么办?吐的饭都吃不进去
- ·孕吐不能吃东西怎么缓解
- ·北京安太的5D超声
- ·先兆临产与临产的区别?!
- ·耻骨分离痛治疗有新方法!
- ·我想知道s/d正常值24周是什么?