孕早期人工流产合并胎盘植入的子宫下段妊娠：诊断与保守治疗
Lower uterine segment pregnancy with placenta increta complicating first trimester induced abortion: diagnosis and conservative management.
作者信息
Liu Xinyan, Fan Guangsheng, Jin Zhengyu, Yang Ning, Jiang Yuxin, Gai Mingying, Guo Lina, Wang Youfang, Lang Jinghe
机构信息
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China.
出版信息
Chin Med J (Engl). 2003 May;116(5):695-8.
OBJECTIVE
To discuss the diagnosis of and conservative management for lower uterine segment pregnancy with placenta increta complicating first trimester abortion.
METHODS
Four patients with previous caesarean section and severe hemorrhage in induced abortion in the first trimester were studied. Uterine artery embolization (UAE) was used to control bleeding and preserve the uterus.
RESULTS
UAE controlled heavy uterine bleeding satisfactorily. One of the four patients asked for a hysterectomy after UAE, and her pathology report confirmed "lower uterine segment pregnancy with placenta increta".
CONCLUSION
Previous caesarean section is a risk factor for lower uterine segment pregnancy with placenta increta. UAE is one of the best conservative management methods for heavy hemorrhage, especially for women who desire future fertility.
目的
探讨合并胎盘植入的子宫下段妊娠并发早期流产的诊断及保守治疗方法。
方法
研究4例有剖宫产史且在孕早期人工流产时发生严重出血的患者。采用子宫动脉栓塞术（UAE）控制出血并保留子宫。
结果
UAE能有效控制子宫大出血。4例患者中有1例在UAE术后要求行子宫切除术，其病理报告证实为“合并胎盘植入的子宫下段妊娠”。
结论
既往剖宫产史是合并胎盘植入的子宫下段妊娠的危险因素。UAE是治疗严重出血的最佳保守治疗方法之一，尤其适用于有生育要求的女性。
Zotero 插件