Yarandi Fariba, Eftekhar Zahra, Shojaei Hadi, Rahimi-Sharbaf Fatemeh, Baradaran Fatemeh
Department of Gynecological Oncology, School of Medicine, Tehran University of Medical Sciences, Mirza Koochak-Khan Hospital, Tehran, Iran.
Acta Med Iran. 2011;49(6):396-8.
Placenta increta, a rare complication of pregnancy, is associated with significant postpartum hemorrhage often requiring emergency hysterectomy. We report a case of conservative management, with a combination of parenteral methotrexate, serial ultrasound and β-hCG assessment. Serum β-hCG levels were undetectable after 8 weeks of therapy. A scan at 6 months showed complete involution of the uterus. Review of the literature discussing the diagnostic tools, clinical features, management and outcome of pregnancies with placenta increta.
胎盘植入是一种罕见的妊娠并发症，常伴有严重的产后出血，往往需要紧急子宫切除术。我们报告一例保守治疗的病例，采用了甲氨蝶呤注射、系列超声检查和β - 人绒毛膜促性腺激素（β - hCG）评估相结合的方法。治疗8周后血清β - hCG水平检测不到。6个月时的扫描显示子宫完全复旧。回顾了讨论胎盘植入妊娠的诊断工具、临床特征、治疗及结局的文献。
