PLASENTA AKREATA; GEÇMİŞTEN BUGÜNE ÖYKÜSÜ

Yıl 2020, Cilt: 15 Sayı: 3, 88 - 93, 16.10.2020

Sezen Koçarslan

https://doi.org/10.17517/ksutfd.738885

Cited By: 1

Öz

Plasenta akreata plasental villusların miyometriyumu anormal invazyonu ile oluşur. Histopatoloji temelinde üç dereceye ayrılır. Plasental villuslar miyometriyum ile direkt temas kurduğunda plasenta akreata, miyometriyal katları invaze ettiğinde plasenta inkreata, uterin serozayı da invaze ettiğinde plasenta perkreata denir. Plasenta akreata için ana risk faktörü plasenta previa’nın eşlik ettiği sezeryan doğum öyküsüdür. Plasenta akreatada plasental yataktaki yetersiz desidualizasyon ve trofoblastik değişiklikler uterin skara sekonderdir. Maternal klinik gidişi yönetimde anahtar faktör antenatal tanıdır. Tanı vakaların çoğunda ultrason ile konulur. Plasenta akreatanın tedavisi multidisipliner cerrahi ekibe ihtiyaç duyar. Sezeryan histerektomi tercih edilen tedavidir. Seçilmiş vakalarda konservatif tedavi ile fertilite korunabilir.

Anahtar Kelimeler

Plasenta, yapışma anomalisi, akreata, inkreata, perkreata

Destekleyen Kurum

YOK

Teşekkür

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Kaynakça

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