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穿透性胎盘植入的泌尿系统表现

Urological Manifestations of Placenta Percreta.

作者信息

Ibrahim Mina A, Liu Angela, Dalpiaz Amanda, Schwamb Richard, Warren Kelly, Khan Sardar A

机构信息

Department of Physiology and Biophysics, Stony Brook, N.Y., USA.

Department of Urology, SUNY School of Medicine, Stony Brook University, Stony Brook, N.Y., USA.

出版信息

Curr Urol. 2015 Jul;8(2):57-65. doi: 10.1159/000365691. Epub 2015 Jul 10.

Abstract

Placenta percreta is a condition of pregnancy associated with abnormal decidua placenta. It is characterized by invasion of chorionic villi past the myometrium and serosa, towards urogenital organs. Complications include massive hemorrhage, bladder dysfunction, and severe infections during delivery. Reports suggest an increasing prevalence of this condition. From a urological perspective, this review suggests how early diagnostic modalities, effective treatment plans, and appropriate surgical methods may aid in decreasing the morbidity and mortality of placenta percreta. The importance of maintaining bladder integrity during hysterectomy is emphasized.

摘要

胎盘植入是一种与蜕膜胎盘异常相关的妊娠情况。其特征是绒毛膜绒毛侵入超过子宫肌层和浆膜,朝向泌尿生殖器官。并发症包括大量出血、膀胱功能障碍和分娩期间的严重感染。报告表明这种情况的患病率在上升。从泌尿外科的角度来看,本综述提出早期诊断方法、有效的治疗方案和合适的手术方法如何有助于降低胎盘植入的发病率和死亡率。强调了子宫切除术中保持膀胱完整性的重要性。

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