Pather Selvan, Strockyj Sasha, Richards Antony, Campbell Neil, de Vries Brad, Ogle Robert
The Sydney Gynaecologic Oncology Group, Sydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia; University of Sydney, Camperdown, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2014 Feb;54(1):84-7. doi: 10.1111/ajo.12149. Epub 2013 Nov 13.
Retaining the placenta in situ at caesarean section for placenta percreta and awaiting placental reabsorption is widely practiced; however, there is limited evidence on the efficacy and complications of this strategy. We present three cases of placenta percreta managed conservatively and note that all three women experienced significant complications. A review of the literature showed that despite initial conservative management, 40% of women subsequently require emergency hysterectomy and 42% will experience major morbidity.
剖宫产时对穿透性胎盘植入保留原位胎盘并等待胎盘重吸收的做法已广泛应用；然而，关于该策略的有效性和并发症的证据有限。我们报告了3例保守治疗穿透性胎盘植入的病例，并注意到所有3名女性均出现了严重并发症。文献综述表明，尽管最初采用保守治疗，但40%的女性随后需要紧急子宫切除术，42%的女性会出现严重并发症。
