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Why isn't one-step conservative surgery used more frequently to treat women with placenta accreta spectrum?

作者信息

Palacios-Jaraquemada Jose Miguel, Nieto-Calvache Albaro Jose, Savukyne Egle, Pellegrinelli Jean-Maria, de Tejada Begoña Martinez

机构信息

Hospital Universitario CEMIC, Buenos Aires, Argentina.

Departamento de Ginecología y Obstetricia, Fundación Valle del Lili, Cali, Colombia.

出版信息

Acta Obstet Gynecol Scand. 2025 Apr;104 Suppl 1(Suppl 1):66-67. doi: 10.1111/aogs.14897. Epub 2024 Jun 10.

DOI:10.1111/aogs.14897
PMID:38856302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12087389/
Abstract
摘要

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Why isn't one-step conservative surgery used more frequently to treat women with placenta accreta spectrum?为什么一步保守手术不更频繁地用于治疗患有胎盘植入谱系疾病的女性？
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One-step conservative surgery vs hysterectomy for placenta accreta spectrum: a feasibility randomized controlled trial.一步法保守性手术与子宫切除术治疗胎盘植入谱系疾病的比较：一项可行性随机对照试验。
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How to perform the one-step conservative surgery for placenta accreta spectrum move by move.如何一步步实施胎盘植入谱系疾病的一步保守性手术。
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Conservative management or cesarean hysterectomy for placenta accreta spectrum: the PACCRETA prospective study.胎盘植入谱系疾病的保守治疗或剖宫产子宫切除术：PACCRETA前瞻性研究
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Conservative management of placenta accreta spectrum is associated with improved surgical outcomes compared to cesarean hysterectomy: a systematic review and meta-analysis.与剖宫产子宫切除术相比，胎盘植入谱系疾病的保守治疗与更好的手术结局相关：一项系统评价和荟萃分析。
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Placenta accreta spectrum: a hysterectomy can be prevented in almost 80% of cases using a resective-reconstructive technique.胎盘植入谱系疾病：采用切除术-重建术，近 80%的病例可避免子宫切除术。
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Delivery outcomes in the subsequent pregnancy following the conservative management of placenta accreta spectrum disorder: a systematic review and meta-analysis.胎盘部位滋养细胞肿瘤保守治疗后后续妊娠结局的系统评价和荟萃分析。
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引用本文的文献

1
Advances in uterine-preserving surgical techniques for placenta accreta spectrum.胎盘植入谱系疾病保留子宫手术技术的进展
Acta Obstet Gynecol Scand. 2025 Apr;104 Suppl 1(Suppl 1):68-69. doi: 10.1111/aogs.14967. Epub 2024 Sep 30.

本文引用的文献

1
Opportunities for, and barriers to, uterus-preserving surgical techniques for placenta accreta spectrum.胎盘植入谱系疾病保留子宫手术技术的机遇与障碍
Acta Obstet Gynecol Scand. 2025 Apr;104 Suppl 1(Suppl 1):8-19. doi: 10.1111/aogs.14855. Epub 2024 May 2.
2
One-step conservative surgery vs hysterectomy for placenta accreta spectrum: a feasibility randomized controlled trial.一步法保守性手术与子宫切除术治疗胎盘植入谱系疾病的比较：一项可行性随机对照试验。
Am J Obstet Gynecol MFM. 2024 Jun;6(6):101333. doi: 10.1016/j.ajogmf.2024.101333. Epub 2024 Mar 6.
3
Management of placenta accreta spectrum in low- and middle-income countries.中低收入国家胎盘植入谱系疾病的管理。
Best Pract Res Clin Obstet Gynaecol. 2024 Jun;94:102475. doi: 10.1016/j.bpobgyn.2024.102475. Epub 2024 Feb 17.
4
Telemedicine facilitates surgical training in placenta accreta spectrum.远程医疗有助于胎盘植入谱系疾病的外科手术培训。
Int J Gynaecol Obstet. 2022 Jul;158(1):137-144. doi: 10.1002/ijgo.14000. Epub 2021 Nov 20.
5
Placenta accreta spectrum: a hysterectomy can be prevented in almost 80% of cases using a resective-reconstructive technique.胎盘植入谱系疾病：采用切除术-重建术，近 80%的病例可避免子宫切除术。
J Matern Fetal Neonatal Med. 2022 Jan;35(2):275-282. doi: 10.1080/14767058.2020.1716715. Epub 2020 Jan 26.