Benzineb N, Fekih M A, Battikh O, Sfar R
Service de Gynécologie-Obstétrique B, Hôpital Charles Nicolle, Tunis, Tunisie.
J Gynecol Obstet Biol Reprod (Paris). 1995;24(7):751-5.
A retrospective analysis of 10 cases of placenta accreta observed from 1983 to 1993, all confirmed histologically, were reviewed at the Gynaecology-Obstetric B ward of the Charles Nicolle Hospital in Tunis. The incidence of this placental anomaly is 1 for 7,139 births. The condition is usually discovered due to excessive bleeding at delivery. In 10 cases, hysterectomy was required for haemostasis. There were 3 maternal deaths. The insertion of the placenta on a uterin scar is highly suggestive of placenta accreta. The increase in the incidence of this pathology over the last years is probably related to the increase in the number of cesarean sections. When observed, hysterectomy provides the best chances of survival.
对突尼斯查尔斯·尼科勒医院妇产科B病房1983年至1993年间观察到的10例胎盘植入病例进行回顾性分析，所有病例均经组织学确诊。这种胎盘异常的发生率为每7139例分娩中有1例。该病通常因分娩时出血过多而被发现。10例病例中，为止血均需行子宫切除术。有3例产妇死亡。胎盘附着于子宫瘢痕高度提示胎盘植入。近年来这种病理情况发生率的增加可能与剖宫产数量的增加有关。一旦观察到，子宫切除术提供了最佳的生存机会。
