峡部胎盘植入伴大量产科出血病例中的子宫保留：一例病例报告
Uterine Preservation in a Case of Isthmic Placenta Accreta With Massive Obstetric Hemorrhage: A Case Report.
摘要(中文译文)
胎盘植入谱系（PAS）疾病与显著的孕产妇发病率相关，常需行子宫切除术。保守治疗仍存在争议，但在部分选择性病例中可予以考虑。我们报告一例发生于32岁经产妇、有剖宫产史的峡部胎盘植入病例。患者表现为产前出血，磁共振成像（MRI）诊断为前置胎盘并疑似植入。在大出血后行急诊剖宫产术。实现了部分胎盘清除，而粘连的峡部部分留置于原位，并采用止血缝合进行保守处理。尽管术中出血严重需输血，患者结局良好，残留胎盘组织在三个月内完全自行吸收。本病例凸显了在选择性峡部胎盘植入病例中保守治疗的可行性。
Abstract
Placenta accreta spectrum (PAS) disorders are associated with significant maternal morbidity, often requiring hysterectomy. Conservative management remains controversial but may be considered in selected cases. We report a case of isthmic placenta accreta in a 32-year-old multiparous woman with a prior cesarean section. The patient presented with antepartum hemorrhage and was diagnosed with placenta previa with suspected accreta on magnetic resonance imaging (MRI). An emergency cesarean section was performed following massive hemorrhage. Partial placental removal was achieved, while the adherent isthmic portion was left in situ and managed conservatively with hemostatic sutures. Despite significant intraoperative bleeding requiring transfusion, the patient had a favorable outcome, with complete spontaneous resorption of retained placental tissue over three months. This case highlights the feasibility of conservative management in selected cases of isthmic placenta accreta.
如何引用
AMA
Benabdeslam Rim, Anibri Mouna, Khalid Fathi. Uterine Preservation in a Case of Isthmic Placenta Accreta With Massive Obstetric Hemorrhage: A Case Report.. Cureus. 2026; doi:10.7759/cureus.109463.
APA
Benabdeslam Rim, Anibri Mouna, Khalid Fathi (2026). Uterine Preservation in a Case of Isthmic Placenta Accreta With Massive Obstetric Hemorrhage: A Case Report.. Cureus. https://doi.org/10.7759/cureus.109463
GB/T 7714
Benabdeslam Rim, Anibri Mouna, Khalid Fathi. Uterine Preservation in a Case of Isthmic Placenta Accreta With Massive Obstetric Hemorrhage: A Case Report.[J]. Cureus, 2026 doi:10.7759/cureus.109463.
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