妊娠中期流产后胎盘增生的准管理:一例报告和简短回顾

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI:10.1515/crpm-2021-0008

Diletta Fumagalli, T. Bignardi, A. Vanzulli, P. Corbella, M. Meroni, M. L. Interdonato

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引用次数: 1

摘要

目的胎盘增生谱(PAS)障碍是孕产妇发病和死亡的重要原因。传统上，患有PAS的女性会接受手术治疗，而预期治疗仍被认为是研究性的。我们报告了一例在19周妊娠失败后的PAS的预期管理。超声怀疑PAS, MRI证实PAS。患者接受保守治疗以保持生育能力。这包括将胎盘留在原位，然后进行门诊和门诊临床和超声检查以及血液检查。5周后胎盘脱离发生，无重大并发症。结论:我们的报告表明，在某些中期妊娠流产后的PAS病例中，孕妇管理可能是一种安全的选择。我们建议期望管理应提供转诊中心PAS。

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Expectant management of placenta accreta after a mid-trimester pregnancy loss: a case report and a short review

Abstract Objectives Placenta accreta spectrum (PAS) disorders are a significant cause of maternal morbidity and mortality. Traditionally women with PAS are offered surgery, while expectant management is still considered investigational. Case presentation We present a case of expectant management of PAS after pregnancy loss at 19-weeks. PAS was suspected at sonography and confirmed by MRI. Patient was offered expectant management to preserve fertility. This consisted of leaving the placenta in situ, followed by in- and out-patient clinical and sonographic examinations and blood tests. After five weeks placental detachment occurred without major complications. Conclusions Our report suggests that expectant management could be a safe option in selected cases of PAS after mid-trimester pregnancy loss. We recommend expectant management should be offered in referral centers for PAS.

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

自引率

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发文量

期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.