Mahendru Rajiv, Taneja Bal K, Malik Savita
Department of Obstetrics & Gynecology, MMIMSR, Mullana, Ambala, Haryana, 133203, India.
Cases J. 2009 Dec 18;2:9349. doi: 10.1186/1757-1626-2-9349.
One of the ensuing complications of placenta accreta includes loss of fertility.
An Asian origin Indian national patient with history of placenta accreta at the time of previous delivery and had conservative management with injection methotrexate after the failure of surgical intervention, conceives again and has uneventful antenatal period and parturition.
Conservative strategy of leaving the excessively adherent placenta in-situ alongwith adjuvant therapy in the form of injection methotrexate, not only prevents dreadful complications but also retains fertility in haemodynamically stable patients desirous of future pregnancy.
胎盘植入的后续并发症之一包括生育能力丧失。
一名祖籍亚洲的印度患者，上次分娩时患有胎盘植入，手术干预失败后采用甲氨蝶呤注射进行保守治疗，再次怀孕，孕期和分娩过程均顺利。
对于血流动力学稳定且希望未来怀孕的患者，将过度粘连的胎盘原位保留并辅以甲氨蝶呤注射的保守策略，不仅可预防可怕的并发症，还能保留生育能力。
