Oumachigui A, Rajagopalan G, Reddy R, Prabhavathy R, Chakravarty A
Int J Gynaecol Obstet. 1981 Aug;19(4):337-40. doi: 10.1016/0020-7292(81)90085-0.
Five cases of placenta accreta and percreta are reviewed. Three cases, one a recurrence in the same patient, presented with acute abdominal pain; in one case perforation resulting from placenta percreta was discovered at laparotomy. In another case, placenta accreta was recognized during cesarean delivery. Total or subtotal hysterectomy was performed in three cases; piecemeal removal of placental tissue and closure of the tear was performed in two of the patients. There were no maternal deaths, but the infants were stillborn in three cases of perforation or uterine rupture.
回顾了5例胎盘植入和穿透性胎盘植入病例。3例(其中1例为同一患者复发)表现为急性腹痛;1例在剖腹手术中发现由穿透性胎盘植入导致的穿孔。另1例在剖宫产时发现胎盘植入。3例行全子宫或次全子宫切除术;2例患者行胎盘组织的碎块切除及裂口缝合。无孕产妇死亡,但在3例穿孔或子宫破裂病例中,婴儿为死产。