Division of Perinatal Medicine, Department of Reproductive Medicine, University of California San Diego, San Diego, CA 92103-8433, USA.
Clin Perinatol. 2011 Jun;38(2):285-96. doi: 10.1016/j.clp.2011.03.010. Epub 2011 Apr 13.
Placenta accreta is a significant source of obstetric morbidity and mortality. Its incidence is increasing as a direct consequence of the increasing cesarean section rate, which reflects increased rates of maternal obesity, increased numbers of multiple gestations secondary to assisted reproductive technology, physician concern about litigation for adverse obstetric outcome, and a decline in the use of operative vaginal delivery for both cephalic and breech presentations. Optimum management for most cases requires elective cesarean hysterectomy, ideally performed at about 34 weeks' gestation. A multidisciplinary approach produces the best outcomes.
胎盘植入是导致产科发病率和死亡率的重要原因。由于剖宫产率的增加，胎盘植入的发病率也在不断上升，而这又直接反映了产妇肥胖率的上升、辅助生殖技术导致的多胎妊娠的增加、医生对不良产科结局诉讼的担忧，以及头位和臀位经阴道分娩的使用率下降。对于大多数病例，最佳的治疗方法是择期行剖宫产子宫切除术，最好在 34 周左右进行。多学科的方法可以产生最佳的结果。
