Pliskow Steven, Dai Xiaorong, Kohner Andrew, Kapnick Jason
Department of Obstetrics and Gynecology, Palms West Hospital, 603 Village Boulevard, Suite 201, West Palm Beach, Loxahatchee, FL 33409, USA.
J Reprod Med. 2009 Oct;54(10):636-8.
Placenta accreta is often diagnosed at the time of delivery and is a cause of postpartum hemorrhage, morbidity and mortality. The standard treatment for placenta accreta is hysterectomy to avoid acute blood loss and shock. A conservative surgical approach to the treatment of placenta accreta will allow immediate cure while preserving the patient's future fertility.
A 39-year-old woman with placenta accreta diagnosed at the time of vaginal delivery was successfully treated with resection of the placental implantation site. A 33-year-old woman and a 35-year-old woman with placenta accreta/increta diagnosed at the time of cesarean section were successfully treated with resection of the placental implantation site. One patient has since conceived and given birth.
Placenta accreta and placenta increta can be safely and successfully treated, in some well-selected cases, by resection of the placental implantation site and uterine repair. This conservative surgical management provides immediate therapy, reduces blood loss and preserves fertility.
胎盘植入通常在分娩时被诊断出来，是产后出血、发病和死亡的一个原因。胎盘植入的标准治疗方法是子宫切除术，以避免急性失血和休克。一种保守的手术方法来治疗胎盘植入将能够在保留患者未来生育能力的同时实现即刻治愈。
一名39岁在阴道分娩时被诊断为胎盘植入的女性通过胎盘植入部位切除术成功治愈。一名33岁和一名35岁在剖宫产时被诊断为胎盘植入/胎盘植入穿透的女性通过胎盘植入部位切除术成功治愈。其中一名患者此后已怀孕并分娩。
在一些经过精心挑选的病例中，胎盘植入和胎盘植入穿透可以通过胎盘植入部位切除术和子宫修复安全、成功地治疗。这种保守的手术管理提供了即刻治疗，减少了失血并保留了生育能力。
