摘要
瘢痕子宫再次妊娠胎盘附着于原切口部位易发生胎盘植入。其主要的产前诊断方法有血清学检查、彩色超声、磁共振。植入性胎盘可行保守治疗,但需密切监测病情变化,若在保守治疗过程中发生大出血应立即手术治疗。
Placenta accreta is a life-threatening obstetrical condition requiring a multidisciplinary approach. Despite identified obstetrical risk factors, especially previous cesarean section and its association with placenta previa, the diagnosis is often made at the time of delivery. Recently, the main prenatal screening includes biological markers, ultrasound examination and magnetic resonance imaging （MRI）. Conservative management should be considered only when the patient wishes to preserve her fertility and when no active uterine bleeding is present. But provided follow-up is close. If a massive hemorrhage occurs during the period of conservative management , an emergent hysterectomy should be required.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2010年第8期589-591,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
瘢痕子宫
胎盘植入
超声
磁共振
保守治疗
手术治疗
scarred uterus
placenta accreta
ultrasound
MRI
conservative management
surgery
