Hennetier C, Daudruy Brasseur M, Patrier S, Clavier E, Thibault M L, Verspyck E
Clinique gynécologique et obstétricale, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
Service de radiologie pédiatrique, CHU de Rouen, 1, rue de Germont, 76031 Rouen, France.
J Gynecol Obstet Hum Reprod. 2017 Mar;46(3):297-299. doi: 10.1016/j.jogoh.2016.10.010. Epub 2017 Feb 8.
We report a retrospective series of 12 placentas percreta with bladder invasion and for which an expected initially multidisciplinary conservative surgical treatment associated with uterine artery embolization was programmed. Conservative surgical treatment was only performed in 7 women. Radical surgical treatment was necessary during the caesarean section and complicated by massive hemorrhage in three women and secondary in two other women for infectious diseases. Radical surgical treatment was associated with partial cystectomy complicated with urinary disorder sequelae in three women. Maternal morbidity of the placenta percreta bladder remains high despite the establishment of a multidisciplinary care protocol.
我们报告了一组12例穿透性胎盘植入伴膀胱侵犯的病例，最初计划采用多学科联合的保守性手术治疗并联合子宫动脉栓塞术。仅7名女性接受了保守性手术治疗。3名女性在剖宫产时需要进行根治性手术治疗，并出现大量出血，另外2名女性因感染性疾病出现继发性问题。3名女性的根治性手术治疗伴有部分膀胱切除术，并出现泌尿系统疾病后遗症。尽管制定了多学科护理方案，但穿透性胎盘植入伴膀胱侵犯的孕产妇发病率仍然很高。
