Smith Devin D, Perez-Delboy Annette, Burke William M, Tergas Ana I
Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA; Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Case Rep Obstet Gynecol. 2016;2016:6921280. doi: 10.1155/2016/6921280. Epub 2016 Dec 6.
. Morbidly adherent placenta (MAP) is increasing in incidence and is commonly associated with maternal hemorrhage and cesarean hysterectomy. Uterine artery embolization (UAE) may be utilized in the conservative management of placenta percreta to potentially reduce blood loss. The incidence of complications from UAE in the conservative management of placenta percreta is poorly described. To our knowledge, we present the first reported case of buttock necrosis in this setting. . A 39-year-old gravida nine para two with placenta percreta who underwent conservative management with UAE complicated by right buttock necrosis. . While UAE may potentially decrease blood loss, it is not without risk. More studies must be performed in order to quantify those risks and determine the clinical utility of UAE.
胎盘植入发病率呈上升趋势，常与产妇出血及剖宫产子宫切除术相关。子宫动脉栓塞术（UAE）可用于胎盘植入的保守治疗，以潜在减少失血。在胎盘植入保守治疗中，UAE并发症的发生率鲜有描述。据我们所知，我们报道了首例在此情况下发生臀部坏死的病例。一名39岁、孕9产2、患有胎盘植入的孕妇接受了UAE保守治疗，并发右臀部坏死。虽然UAE可能潜在减少失血，但并非毫无风险。必须开展更多研究以量化这些风险，并确定UAE的临床实用性。
