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胎盘全层植入系罕见之产科情况,至1980年世界文献仅报导66例。作者报告1例并加讨论。患者35岁,1965年曾自然流产并刮宫,此后继发闭经10年。1975年诊为Ascherman氏综合征,再行扩张及刮宫术并放置IUD。月经重新来潮,6个月后取出IUD。1981年子宫输卵管造影见宫腔极不规则、单侧输卵管显影。宫腔镜见宫腔广泛粘连,几乎不能分离,然而此后不久却怀孕。1982年4月30日孕23周时患者行产前检查,子宫大小符合孕周,超声检查为单胎,胎盘位于宫底后壁,左侧宫底有一小纤维瘤。妊娠进展顺利,孕35周时因间
Full-thickness placenta accreta is a rare case of obstetrics, by 1980 the world literature reported only 66 cases. The authors report 1 case and discuss. The patient, 35 years old, had spontaneous abortion and curettage in 1965 and was followed by amenorrhea for 10 years. Diagnosis of Ascherman’s syndrome in 1975, and then expansion and curettage and placement of IUD. Menstrual resurgence, 6 months after IUD removed. 1981 hysterosalpingography see the uterine cavity is very irregular, unilateral tubal imaging. Hysteroscopic uterine cavity see a wide range of adhesions, almost impossible to separate, but soon after pregnancy. On April 30, 1982, at 23 weeks of gestation, the patient underwent prenatal examination. The size of the uterus conformed to the gestational age. The sonography was a single fetus. The placenta was located on the posterior wall of the uterus. The left uterine fundus had a small fibroma. Pregnancy progressing well, due to the 35 weeks of pregnancy