胎盘植入保守治疗失败后行子宫切除术：一例报告。
Hysterectomy after a failed conservative management of placenta increta: A case report.
作者信息
Jomaa Sami, Alchallah Mhd Obai, Raslan Hasan, Bhsass Rafat, Adwan Dema
机构信息
Faculty of Medicine, Damascus University, Damascus, Syria.
Faculty of Medicine, Syrian Private University, Damascus, Syria.
出版信息
Int J Surg Case Rep. 2022 Apr;93:106963. doi: 10.1016/j.ijscr.2022.106963. Epub 2022 Mar 28.
INTRODUCTION AND IMPORTANCE
Conservative management of placenta accreta is a recent approach demarcated by leaving the placenta in situ. It can be applied either after a failed attempt to remove the placenta manually or without previous attempts.
CASE PRESENTATION
In this case, we present a 31-years-old woman who was diagnosed with placenta increta during the cesarean section. Surgeons tried to remove the placenta manually, but they have failed and left the placenta in situ to avoid performing a hysterectomy on the patient.
CASE PRESENTATION
Inappropriate follow-up clinically ultrasound results in severe bleeding and subsequent emergent urges to conduct a hysterectomy to save the patient's life.
CONCLUSION
Conservative management requires a close follow-up using ultrasonography to avoid any fatal complications.
引言与重要性
胎盘植入的保守治疗是一种近期出现的方法，其特点是将胎盘留于原位。它既可以在手动剥离胎盘失败后应用，也可以在未进行过尝试的情况下应用。
病例介绍
在本病例中，我们呈现了一名31岁的女性，她在剖宫产过程中被诊断为胎盘植入。外科医生试图手动剥离胎盘，但未成功，于是将胎盘留于原位以避免对患者进行子宫切除术。
病例介绍
临床上不恰当的超声随访导致严重出血，随后紧急需要进行子宫切除术以挽救患者生命。
结论
保守治疗需要使用超声进行密切随访，以避免任何致命并发症。
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