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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Placenta Previa Partial Accreta Managed Successfully with Lower Segment Caesarean and Methotrexate Injection
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Placenta Previa Partial Accreta Managed Successfully with Lower Segment Caesarean and Methotrexate Injection

机译：Prinenta PREVIA部分ACCRETA成功管理，具有较低的剖宫产和甲氨蝶呤注射

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摘要

Placenta accreta is defined as an abnormal trophoblast invasion or pathologic adherence of part or all the placenta intothe myometrium of the uterine wall. Patients with complete placental adhesive disorders are more likely to require classicalcaesarean and insitu hysterectomy or delayed hysterectomy during the postpartum period. The management of partiallyadhered placenta is controversial. We report a patient who was diagnosed to have partial adherence of the central previaplacenta with intrauterine fetal demise. She was successfully managed by lower segment cesarean section after bilateraluterine artery ligation followed by excision of the non-adhered placenta and postoperative methotrexate. The operative andpostoperative management is detailed. Lower Segment Caesarean Section (LSCS) and postoperative methotrexate should beconsidered a feasible and safe option for a woman with partial adhered placenta previa in the set up of a tertiary institute withintensive care unit and blood bank.
机译：胎盘AccReta被定义为部分或全部胎盘的异常滋养细胞侵入或病理粘附，胎盘壁的肌腱壁的肌腱。完全胎盘粘合剂疾病的患者更可能在产后期间需要古典加支和Insitu子宫切除或延迟子宫切除术。部分一体化的胎盘管理是有争议的。我们报告了患者被诊断出患者与宫内胎儿的胎儿的局部胎儿局部遵守。双甲巢蛋白动脉结扎后，她被较低分析的剖宫产成功管理，然后切除未粘附的胎盘和术后甲氨蝶呤。可操作的和抗议者管理层详述。低段剖宫产（LSC）和术后甲氨蝶呤应为一个有可能的胎儿胎盘在建立过度的护理单位和血库的建立方面的一个可行和安全的选择。

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