Abstract:

Abstract:The cesarean section surgery with the placenta accreta is complex and difficult. The main purpose of operation is to avoid massive hemorrhage, loss of organ and maternal death. Operating features include the abdominal incision and uterine incision selection, individualized treatment of placenta, conservative surgical method and hysterectomy. The indications should be strictly controlled,operating procedures should be standardized and application should beflexible in various processing methods in order to obtain the best clinical effect.

Key words: complicated placenta accreta, packing in uterine cavity, B-Lynch suture, pelvic vessel ligation cesarean, hysterectomy

摘要：

复杂性前置胎盘的剖宫产术手术复杂、难度大。避免大量出血、器官丢失和孕产妇死亡是其主要目的。手术从腹壁切口及子宫切口的选择、胎盘的个体化处置、手术保守治疗、子宫切除等方面都有其特殊性。各种处理方法都应严格掌握适应证、规范操作步骤，并灵活应用各种方法，才能获得最好的临床效果。

关键词: 复杂性前置胎盘, 宫腔填塞；B-Lynch缝合, 盆腔血管结扎, 子宫切除