Gorodeski I G, Bahari C M, Holzinger M, Schachter A, Neri A
Isr J Med Sci. 1982 Feb;18(2):277-80.
A series of eight women in whom a diagnosis of placenta previa with focal accretion was established, is presented. They were selected from a group of 153 women with placenta previa who delivered during the period 1968-77. The women with placenta previa accreta did not differ from those with placenta previa per se with respect to age, parity, obstetrical history, and antenatal, intrapartum or perinatal outcome. Three women delivered vaginally and five by cesarean section. Postpartum hemorrhage occurred in four of the women, three of whom were delivered vaginally. Of seven women who were managed conservatively, one required a hysterectomy to control bleeding. It is suggested that cases of placenta previa with focal accretion be managed conservatively.
本文报告了一组八例被诊断为前置胎盘伴局部植入的女性病例。她们是从1968年至1977年期间分娩的153例前置胎盘女性中挑选出来的。前置胎盘植入的女性在年龄、产次、产科病史以及产前、产时或围产期结局方面与单纯前置胎盘的女性并无差异。三名女性经阴道分娩，五名行剖宫产。四名女性发生了产后出血，其中三名是经阴道分娩。在七名接受保守治疗的女性中，一名需要行子宫切除术以控制出血。建议对前置胎盘伴局部植入的病例进行保守治疗。
