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J Gynecol Obstet Biol Reprod (Paris). 2015 Feb;44(2):176-83. doi: 10.1016/j.jgyn.2014.02.007. Epub 2014 Apr 18.

[Two- and three-dimensional power Doppler ultrasound in the follow-up of placenta accreta treated conservatively].

[Article in French]

Author information

1
Service de gynécologie-obstétrique, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
2
Service de gynécologie-obstétrique, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France; Université Diderot Paris-7, Sorbonne Paris-Cité, 10, rue de Verdun, 75010 Paris, France.
3
Service d'obstétrique et médecine fœtale, pôle de la Femme, CHU de Nancy, 10, rue du Docteur-Heydenreich, 54042 Nancy, France; Inserm U947 IADI, université de Lorraine, 10, rue du Docteur-Heydenreich, 54042 Nancy, France.
4
Service de radiologie, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France; Université Diderot Paris-7, Sorbonne Paris-Cité, 10, rue de Verdun, 75010 Paris, France.
5
Service de gynécologie-obstétrique, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France; Université Diderot Paris-7, Sorbonne Paris-Cité, 10, rue de Verdun, 75010 Paris, France. Electronic address: delphine.hequet@gmail.com.

Abstract

OBJECTIVES:

To determinate the potential of 2D and 3D-ultrasound in the follow-up of patients with placenta accreta treated conservatively.

PATIENTS AND METHODS:

Seven patients with placenta accreta treated conservatively during June 2007 and September 2009 were included. The follow-up consisted in clinical examination and 2D/3D-ultrasound once a month. Criteria studied included clinical outcome, echogenicity at 2D-ultrasound, vascularisation at colour Doppler, Mean Grey at 3D-ultrasound and vascularisation, flow and perfusion index.

RESULTS:

Seven women with invasive placenta (3 placentas accreta and 2 percreta) were studied. The mean follow-up was 228 days [75-369]. Mean delay for complete elimination of residual placenta was 280 days [120-365]. The two main results were: presence of an increased anechogenicpart in residual placenta before complete resorption for all patients; a systematic and concomitant stop of genital haemorrhage and vascularisation at colour Doppler. High degrees of variability in parameters measured at 3D-ultrasound were observed between patients so that correlations with clinical outcome were found.

CONCLUSION:

Long and regular follow-up is essential after conservative management but the role of 3D-ultrasound compared to 2D-ultrasound was not demonstrated in this study.

KEYWORDS:

3D-ultrasound; Conservative management; Placenta accreta-percreta; Traitement conservateur; Échographie 3D

PMID:
24746586
DOI:
10.1016/j.jgyn.2014.02.007
[Indexed for MEDLINE]
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