Ota Y, Watanabe H, Fukasawa I, Tanaka S, Kawatsu T, Oishi A, Yasuda S, Inaba N
Department of Obstetrics and Gynecology, Dokkyo University School of Medicine, Shimotsuga-gun, Tochigi, Japan.
Arch Gynecol Obstet. 1999 Nov;263(1-2):69-72. doi: 10.1007/s004040050265.
A review of the patients seen at the Department of Obstetrics at Dokkyo University Hospital who had suffered placenta accreta/increta in the past 18 years, was performed. There were 10 such cases out of 9,716 deliveries during this period. This incidence is higher than that which has been reported in other Western countries. Forty percent of the patients in our study had placenta accreta/increta accompanied by placenta previa or low lying; 30% had had a prior cesarean section (C/S); 70% had previously experienced dilatation and curettage (D & C); 80% had previously undergone a C/S and/or D & C: and 40% had a history of miscarriage. Three of the ten patients with placenta accreta/increta required a hysterectomy; 2 patients were successfully treated with hemostatic stitches on the endometrium; and the remaining 5 mild cases were treated with removal of the placenta, either manually or with the use of forceps. There was no case of maternal death. In 2 cases, neonatal asphyxia was noted, but the neonate immediately recovered.
对过去18年在东京女子医科大学附属医院妇产科就诊的患有胎盘植入/穿透性胎盘植入的患者进行了回顾性研究。在此期间，9716例分娩中有10例此类病例。这一发病率高于其他西方国家报道的发病率。我们研究中的40%的患者的胎盘植入/穿透性胎盘植入伴有前置胎盘或低置胎盘；30%的患者既往有剖宫产史；70%的患者既往有刮宫史；80%的患者既往有剖宫产和/或刮宫史；40%的患者有流产史。10例胎盘植入/穿透性胎盘植入患者中有3例需要行子宫切除术；2例患者通过子宫内膜止血缝合成功治疗；其余5例轻症患者通过手动或使用产钳取出胎盘进行治疗。无孕产妇死亡病例。2例患者出现新生儿窒息，但新生儿立即恢复。
