Ayasa Laith A, Abdallah Jasmin O, Saifi Motaz, Wafi Ahmed
Internal Medicine, Al-Quds University, Jerusalem, PSE.
Medicine, An-Najah National University, Nablus, PSE.
Cureus. 2023 Jun 2;15(6):e39878. doi: 10.7759/cureus.39878. eCollection 2023 Jun.
We report the case of a 28-year-old patient with a partial placental insertion on an intrauterine adhesion diagnosed at 20 weeks' gestation. The increasing incidence of intrauterine adhesions during the last decade has been attributed to the rising number of uterine surgeries in the fertile population and better imaging studies facilitating diagnosis. Although uterine adhesions during pregnancy are generally considered benign, the existing evidence is conflicting. The obstetric risks in these patients are unclear, but higher numbers of placental abruption, preterm premature rupture of membranes (PPROM), and cord prolapse have been reported. Thus, a prenatal diagnosis should prompt close feto-maternal observation. Surgical resection should be offered to patients with adhesions found prior to pregnancy.
我们报告了一例28岁患者，在妊娠20周时诊断为部分胎盘附着于宫腔粘连处。过去十年中，宫腔粘连的发病率不断上升，这归因于育龄人群子宫手术数量的增加以及有助于诊断的更好的影像学检查。尽管孕期宫腔粘连通常被认为是良性的，但现有证据存在矛盾。这些患者的产科风险尚不清楚，但已有报道称胎盘早剥、胎膜早破（PPROM）和脐带脱垂的发生率较高。因此，产前诊断应促使进行密切的母胎观察。对于妊娠前发现有粘连的患者，应提供手术切除治疗。
