Dueñas-Garcia Omar Felipe, Diaz-Sotomayor Maricela, Rico-Olvera Hugo
Bronx Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, New York, USA.
J Obstet Gynaecol Res. 2011 Aug;37(8):1112-6. doi: 10.1111/j.1447-0756.2010.01466.x. Epub 2011 Apr 4.
The conservative management of retained placenta accreta has been proposed as an alternative option in selected cases. Three patients under conservative management of placenta accreta were followed using the pulsatility index of the uterine arteries and the β fraction of human chorionic gonadotropin to determine the degree of vascularity between the uterus and the placenta. In this series of cases of conservative management of placenta accreta, the pulsatility index of the uterine arteries showed a better correlation with the uteroplacental circulation than serum β fraction of human chorionic gonadotropin.
对于部分病例,已提出保留胎盘植入的保守治疗方案作为替代选择。对3例接受胎盘植入保守治疗的患者,通过监测子宫动脉搏动指数和人绒毛膜促性腺激素的β亚基水平,来确定子宫与胎盘之间的血管化程度。在这组胎盘植入保守治疗病例中,子宫动脉搏动指数与子宫胎盘循环的相关性优于血清人绒毛膜促性腺激素β亚基水平。