Fox Karin A, Shamshirsaz Alireza A, Carusi Daniela, Secord Angeles Alvarez, Lee Paula, Turan Ozhan M, Huls Christopher, Abuhamad Alfred, Simhan Hyagriv, Barton John, Wright Jason, Silver Robert, Belfort Michael A
Baylor College of Medicine, Houston, TX.
Baylor College of Medicine, Houston, TX.
Am J Obstet Gynecol. 2015 Dec;213(6):755-60. doi: 10.1016/j.ajog.2015.04.034. Epub 2015 Apr 30.
Over the last century, the incidence of placenta accreta, increta, and percreta, collectively referred to as morbidly adherent placenta, has risen dramatically. Planned cesarean hysterectomy at the time of cesarean delivery is the standard recommended treatment in the United States. Recently, interest in conservative management has resurged, especially in Europe. The aims of this review are the following: (1) to provide an overview of methods used for conservative management, (2) to discuss clinical implications for both clinicians and patients, and (3) to identify areas in need of further research.
在过去的一个世纪里，胎盘植入、穿透性胎盘植入和粘连性植入胎盘（统称为凶险性前置胎盘）的发生率急剧上升。在美国，剖宫产时计划行子宫切除术是推荐的标准治疗方法。最近，保守治疗的关注度再度兴起，尤其是在欧洲。本综述的目的如下：（1）概述保守治疗的方法；（2）讨论对临床医生和患者的临床意义；（3）确定需要进一步研究的领域。
