OBJECTIVE:To present a case of selective arterial embolization for the treatment of placenta increta in a patient with subsequent pregnancy.
DESIGN:Case report and literature review.
SETTING:Community-based hospital.
PATIENT(S):A 31-year-old G2P1 woman with placenta increta presenting with delayed postpartum hemorrhage.
INTERVENTION(S):Selective uterine artery embolization.
MAIN OUTCOME MEASURE(S):Cessation of uterine hemorrhage, future pregnancy.
RESULT(S):The patient's uterine bleeding immediately resolved. She subsequently delivered a healthy neonate at term without recurrence of abnormal placentation.
CONCLUSION(S):Arterial embolization is effective for treating placenta increta in women who wish to preserve fertility. A review of the literature demonstrates a 76.9% success rate and an 11% complication rate.
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【Conservative management of placenta increta with selective arterial embolization preserves future fertility and results in a favorable outcome in subsequent pregnancies.].
【选择性胎盘栓塞术保守管理胎盘增量可保留未来的生育能力，并在随后的妊娠中产生有利的结果。】
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DOI：10.1016/j.fertnstert.2006.02.128文章类型：杂志文章
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目的：介绍一例选择性动脉栓塞治疗随后妊娠患者胎盘生长的病例。
设计：病例报告和文献复习。
地点：社区医院。
患者：一名31岁的G2P1妇女，胎盘增大，表现为产后出血延迟。
干预：选择性子宫动脉栓塞术。
主要观察指标：子宫出血停止，未来妊娠。
结果：患者的子宫出血立即消失。随后，她在足月分娩了健康的新生儿，未出现异常胎盘复发。
结论：动脉栓塞术可有效治疗希望保持生育能力的女性的胎盘生长。文献回顾显示成功率为76.9％，并发症发生率为11％。
设计：病例报告和文献复习。
地点：社区医院。
患者：一名31岁的G2P1妇女，胎盘增大，表现为产后出血延迟。
干预：选择性子宫动脉栓塞术。
主要观察指标：子宫出血停止，未来妊娠。
结果：患者的子宫出血立即消失。随后，她在足月分娩了健康的新生儿，未出现异常胎盘复发。
结论：动脉栓塞术可有效治疗希望保持生育能力的女性的胎盘生长。文献回顾显示成功率为76.9％，并发症发生率为11％。
