Clinical and pathological analysis of 34 cases with exaggerated placental site

VernacularTitle:胎盘部位超常反应34例临床和病理分析
Author: Rui HOU ; Luo JIANG ; Bei LIN ; Shulan ZHANG
Publication Type:Journal Article
Keywords: Placenta disease; Exaggerated placental site; Trophocyte
From: Chinese Journal of Postgraduates of Medicine 2012;35(30):6-8
CountryChina
Language:Chinese
Abstract: Objective To summarize the clinical and pathological features of exaggerated placental site (EPS),explore its pathogenesis regularity,diagnosis and treatment strategies.Methods The clinical data related to 34 patients with EPS were analyzed retrospectively.Results In 34 patients,11 patients performed full-term cesarean section,2 patients performed normal vaginal delivery,the other 21 patients had abortion.Thirty-one patients had pregnancy history.Fifteen patients performed hysterectomy,13 patients performed dilatation and curettage,6 patients performed exploratory hysteroscopy and lesions resection.All the patients survived after treatment.Conclusions The patients can not be diagnosed in the antepartum and intrapartum,but can be diagnosed relying on the pathological diagnosis.When it is ineffective to stop bleeding after delivery or abortion by conventional treatment,we should consider the possibility of EPS.Timely perform hysterectomy is theeffective method to stop bleeding,can save the life of patients.If bleeding is not much,curettage or exploratory hysteroscopy can get a significant effective treatment and avoid hysterectomy.