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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Placenta Previa Percreta: A Case Report of Successful Management via Conservative Surgery
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Placenta Previa Percreta: A Case Report of Successful Management via Conservative Surgery

机译：Previa Percreta胎盘素：通过保守手术成功治疗的病例报告

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Placenta percreta is one of the most serious complications of placenta previa and is frequently associated with severe obstetric hemorrhage usually necessitating hysterectomy. We present a case of placenta previa percreta diagnosed by ultrasound and magnetic resonance imaging techniques, in which we accomplished conservative management of postpartum hemorrhage. The management we propose includes the following steps: preventive catheterization of the descending aorta via transhumeral access; Stark cesarean delivery; uterotonics drugs; Affronti endouterine square hemostatic sutures; intrauterine application of Bakri balloon and partial filling with 100 mL of normal saline; B Lynch suture, hysterorrhaphy, and filling a Bakri balloon with up to 500 mL of normal saline; reversible radiological embolization; and/or surgical ligation of the uterine arteries. The bleeding stopped following placement of Affronti sutures combined with external (B-Lynch suture) and internal (Bakri balloon) uterine compression. Our experience indicates that this conservative method can be considered an option in the management of selected cases of pregnancy at high risk for intrapartum hemorrhage.
机译：前置胎盘是前置胎盘最严重的并发症之一，通常与严重的产科出血有关，通常需要行子宫切除术。我们介绍一例经超声和磁共振成像技术诊断的前置尿道胎盘，其中我们完成了产后出血的保守治疗。我们建议的管理方法包括以下步骤：通过肱骨通路预防降主动脉导管插入术;严格剖腹产;宫缩药物; Affronti子宫内膜方形止血缝合线;宫腔内应用Bakri球囊并部分填充100 mL生理盐水; B进行Lynch缝合，宫腔镜检查，并在Bakri气囊中充满至500 mL的生理盐水;可逆的放射栓塞;和/或子宫动脉的手术结扎。在放置Affronti缝合线并结合外部（B-Lynch缝合线）和内部（Bakri球囊）子宫压迫后，出血停止了。我们的经验表明，这种保守的方法可以被认为是处理某些高分娩期出血高危妊娠病例的一种选择。

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