Department of Obstetrics and Gynecology, University College of Medical Science and Guru Teg Bahadur Hospital, Delhi, India.
Acta Obstet Gynecol Scand. 2013 Apr;92(4):461-4. doi: 10.1111/aogs.12083.
Trends in patient profile, clinical presentation, diagnosis, management options and outcome of abnormally invasive placenta (AIP) were retrospectively evaluated at a tertiary care centre from 2001 to 2010. AIP was diagnosed when confirmed by ultrasound or MRI, when complete manual removal of placenta was not possible or when histological confirmation was achieved in a hysterectomy specimen. The first and second halves of the time period were compared. The total number of cases was 56 and the incidence increased significantly in the second half. Main risk factors were placenta previa and previous cesarean section. Antenatal diagnosis by ultrasound was made in 72% in the second half, compared with 35% in the first half (p = 0.009). Maternal mortality was 29% in the first half and 21% in the second half. Hysterectomy was the mainstay in management; elective procedures being significantly higher in the second half.
本研究回顾性分析了 2001 年至 2010 年期间某三级医疗中心异常性胎盘植入（AIP）患者的临床资料，包括患者特征、临床表现、诊断、治疗方法和结局。AIP 是指超声或 MRI 检查确诊、胎盘无法完整取出或子宫切除术后组织病理学检查确诊的胎盘植入。本研究比较了该时间段的前、后半期。共纳入 56 例患者，后半期患者数量显著增加。主要危险因素为前置胎盘和剖宫产史。后半期的产前超声诊断率为 72%，前半期为 35%（p = 0.009）。前半期产妇死亡率为 29%，后半期为 21%。子宫切除术是治疗的主要方法，后半期择期手术明显增加。
