April M Griffith, Susan E Dalton, Anne M Kennedy, Paula J Woodward, Brett D Einerson
{"title":"胎盘增生谱系障碍保守治疗的临床和放射学进展。","authors":"April M Griffith, Susan E Dalton, Anne M Kennedy, Paula J Woodward, Brett D Einerson","doi":"10.1097/AOG.0000000000005931","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Placenta accreta spectrum (PAS) often results in significant maternal morbidity and mortality. Cesarean hysterectomy is the standard treatment in the United States but can be surgically complex and resource-intensive, with significant morbidity. In other countries, conservative management (ie, cesarean delivery with retention of the placenta) is offered as a potentially less morbid option for treatment. Limited data exist to guide postdelivery care of patients undergoing conservative management.</p><p><strong>Cases: </strong>We describe the imaging and clinical findings of six conservatively managed cases of PAS in the weeks after delivery. Imaging findings, including placental cystic changes and development of intrauterine gas, are correlated with the clinical course, time to complete resolution or intervention, and laboratory trends.</p><p><strong>Conclusion: </strong>Our findings present an expected timeline of postdelivery care for patients with PAS undergoing conservative management, which can help guide future protocols for conservative management of PAS.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov, NCT05139498.</p>","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":"145 6","pages":"739-748"},"PeriodicalIF":5.7000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083760/pdf/","citationCount":"0","resultStr":"{\"title\":\"Clinical and Radiologic Evolution in Conservative Management of Placenta Accreta Spectrum Disorder.\",\"authors\":\"April M Griffith, Susan E Dalton, Anne M Kennedy, Paula J Woodward, Brett D Einerson\",\"doi\":\"10.1097/AOG.0000000000005931\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Placenta accreta spectrum (PAS) often results in significant maternal morbidity and mortality. Cesarean hysterectomy is the standard treatment in the United States but can be surgically complex and resource-intensive, with significant morbidity. In other countries, conservative management (ie, cesarean delivery with retention of the placenta) is offered as a potentially less morbid option for treatment. Limited data exist to guide postdelivery care of patients undergoing conservative management.</p><p><strong>Cases: </strong>We describe the imaging and clinical findings of six conservatively managed cases of PAS in the weeks after delivery. Imaging findings, including placental cystic changes and development of intrauterine gas, are correlated with the clinical course, time to complete resolution or intervention, and laboratory trends.</p><p><strong>Conclusion: </strong>Our findings present an expected timeline of postdelivery care for patients with PAS undergoing conservative management, which can help guide future protocols for conservative management of PAS.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov, NCT05139498.</p>\",\"PeriodicalId\":19483,\"journal\":{\"name\":\"Obstetrics and gynecology\",\"volume\":\"145 6\",\"pages\":\"739-748\"},\"PeriodicalIF\":5.7000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083760/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Obstetrics and gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/AOG.0000000000005931\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obstetrics and gynecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/AOG.0000000000005931","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/2 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Clinical and Radiologic Evolution in Conservative Management of Placenta Accreta Spectrum Disorder.
Background: Placenta accreta spectrum (PAS) often results in significant maternal morbidity and mortality. Cesarean hysterectomy is the standard treatment in the United States but can be surgically complex and resource-intensive, with significant morbidity. In other countries, conservative management (ie, cesarean delivery with retention of the placenta) is offered as a potentially less morbid option for treatment. Limited data exist to guide postdelivery care of patients undergoing conservative management.
Cases: We describe the imaging and clinical findings of six conservatively managed cases of PAS in the weeks after delivery. Imaging findings, including placental cystic changes and development of intrauterine gas, are correlated with the clinical course, time to complete resolution or intervention, and laboratory trends.
Conclusion: Our findings present an expected timeline of postdelivery care for patients with PAS undergoing conservative management, which can help guide future protocols for conservative management of PAS.
期刊介绍：
"Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics.
"Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
