穿透性胎盘植入累及左侧阔韧带和宫颈。病例报告。
Placenta previa percreta involving the left broad ligament and cervix. A case report.
作者信息
Lin C C, Adamczyk C J, Montag A G, Zelop C M, Snow J C
机构信息
Department of Obstetrics and Gynecology, University of Chicago, IL 60637, USA.
出版信息
J Reprod Med. 1998 Sep;43(9):839-43.
BACKGROUND
Placenta previa percreta with invasion of the broad ligament and uterine cervix is an extremely rare condition and carries high maternal and fetal morbidity and mortality.
CASE
A 39-year-old, multiparous woman with two previous cesarean sections presented in active labor at term with placenta previa percreta involving the left broad ligament and cervix. The patient was managed by antepartum diagnosis of placenta previa accreta, supracervical hysterectomy, and blood transfusion.
CONCLUSION
This case was managed consistent with the literature, and favorable maternal and fetal outcomes were achieved.
背景
穿透性前置胎盘侵犯阔韧带和子宫颈是一种极其罕见的情况，母婴发病率和死亡率都很高。
病例
一名39岁经产妇，既往有两次剖宫产史，足月时因穿透性前置胎盘累及左侧阔韧带和子宫颈而临产。患者通过产前诊断为植入性前置胎盘、次全子宫切除术及输血进行治疗。
结论
该病例的处理符合文献报道，母婴结局良好。
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