Placenta accreta: report of twelve cases and review of literature

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Placenta accreta: report of twelve cases and review of literature

更新时间：2024-01-17

- Placenta accreta: report of twelve cases and review of literature
- Journal of Chongqing Medical University Issue 4, Pages: 485-487(2002)
- 作者机构：
  
  1. 重庆医科大学计划生育医学系
  2. 重庆医科大学临床学院妇产科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  CLC： R714.43
- Published：2002，
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[1]张丽伟,张建华,卞度宏.胎盘植入(附12例报道及文献复习)[J].重庆医科大学学报,2002(04):485-487.

Placenta accreta: report of twelve cases and review of literature. [J]. Journal of Chongqing Medical University (4):485-487(2002)
[1]张丽伟,张建华,卞度宏.胎盘植入(附12例报道及文献复习)[J].重庆医科大学学报,2002(04):485-487. DOI：

Placenta accreta: report of twelve cases and review of literature. [J]. Journal of Chongqing Medical University (4):485-487(2002) DOI：

摘要

目的：总结和探讨胎盘植入的病因、病理、诊断、处理方法及预防措施。方法：对8年来共收治12例胎盘植入的临床资料进行回顾性分析及复习文献。结果：5例子宫切除，约占42%；5例局部缝合止血；2例保守治疗成功。无产妇死亡。结论：产前早期诊断胎盘植入是改善其预后的关键，当胎盘植入并发致命性大出血时需行子宫切除，对部分非急症且有生育要求的患者可行保守治疗，但注意迟发DIC问题，需随访至胎盘完全吸收或排出。

Abstract

Objective: To summarize and investigate the pathology

diagnosis and treatment of placenta accreta. Methods: Twelve cases of placenta accreta for recent eight years were analyzed retrospectively and the literature was reviewed. Results: Five cases received emergency hysterectomy

about 42% (5/12) of cases. Five cases of local uterus bleeding were treated with suture. Two cases succeeded in conservative treatment. No one died. Conclusion: Early prenatal diagnosis of placenta accreta is a key to improving prognosis. It was common that placenta accreta cause life-threatening hemorrhage and emergency hysterectomy was usually necessary. Conservative treatment was adopted for cases of non-emergency and eagerness for fertility. Because the delayed DIC may take place

careful follow-up may be required until the entire placenta has been resorbed or discharged.

关键词

胎盘侵入性

Keywords

placentaAccreta

references

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Related Institution

Department of Obstetrics and Gynecology,The First Affiliated Hospital of Chongqing Medical University,China-Canada-New Zealand Joint Laboratory of Maternal and Fetal Medicine,Chongqing Medical University

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The Institute of Ultrasonic Engineering in Medicine,Chongqing Medical University

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