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Clinical strategies for pernicious placenta accreta with invasion of the bladder.
JIANG Yu-lin,LIU Jun-tao.
Chinese Journal of Practical Gynecology and Obstetrics ›› 2014, Vol. 30 ›› Issue (12) : 935-938.
PDF(946 KB)
PDF(946 KB)
Clinical strategies for pernicious placenta accreta with invasion of the bladder.
Abstract:With the increase of the advanced age of pregnancy, and the increase in the number of pregnancy with prior cesarean section, pernicious placenta previa complicated with placenta implantation has become one of the relatively common serious complications. Among them, the most difficult situation is the clinical treatments for placenta previa complicated with placenta accreta which penetrates into the bladder wall, commonly known as "placenta accreta penetration into the bladder". In this paper, based on the collection of recent related cases report and literature review, we summarized key points of the preoperative diagnosis of placenta previa with penetration into the bladder, preparation of the surgery, different operation methods and conservative treatment. So far, there have been no agreed clinical guidelines or standard of diagnosis and treatment for such cases;instead the individualized strategy of clinical treatment is often emphasized. The bottom line is to ensure the safety and life quality of pregnant woman,and the principle is to focus on fetal survival, decrease bleeding during the operation, and protect the fertility as muchas possible. Prevention and early identification are the main aspect of clinical process. Correct surgery strategies with full evaluation and preparations before the surgery is the key to the success of the treatment.
pernicious placenta previa / placenta accreta / placenta accreta penetration into the bladder
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（2014-09-29收稿）
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