Davis J D, Cruz A
Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, USA.
Obstet Gynecol. 1996 Oct;88(4 Pt 2):653-4. doi: 10.1016/0029-7844(96)00121-4.
Recent reports have advocated conservative management rather than hysterectomy for placenta increta and its related conditions, placenta accreta and percreta. We report an unusual case of placenta increta in which initial conservative therapy for a presumed placenta accreta failed and hysterectomy was performed 6 months postpartum.
A 32-year-old woman, gravida 2, para 2, was referred 5 months after a repeat cesarean delivery and bilateral tubal interruption for evaluation of an intrauterine mass. A presumed placenta accreta noted at delivery had been managed conservatively. Hysterectomy was performed, and pathologic evaluation was consistent with a retained placenta increta.
Persistent placental tissue is a potential complication of conservative management of an abnormally adherent placenta.
近期报告主张对胎盘植入及其相关病症（胎盘粘连和穿透性胎盘植入）采取保守治疗而非子宫切除术。我们报告了一例罕见的胎盘植入病例，最初针对疑似胎盘粘连的保守治疗失败，患者在产后6个月接受了子宫切除术。
一名32岁女性，孕2产2，在再次剖宫产和双侧输卵管结扎术后5个月因评估子宫内肿物前来就诊。分娩时发现的疑似胎盘粘连采用了保守治疗。随后进行了子宫切除术，病理评估结果与残留胎盘植入相符。
持续存在的胎盘组织是异常粘连胎盘保守治疗的潜在并发症。
