THE POSSIBILITIES OF ECHOGRAPHY IN THE DETECTION OF PATHOLOGICAL INVASION OF THE TROPHOBLAST


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Objective. To analyze the possibilities of ultrasound diagnosis of placenta increta, to develop its reliable echographic signs in women with placenta previa, and to compare our obtained results with the data published in the literature. Subjects and methods. A total of 162 women with placenta previa and no placental migration were identified. All the pregnant women underwent an in-depth study using transabdominal, transvaginal echography and color Doppler mapping. The echography was performed at 7 to 39 weeks’ gestation once every 4 weeks and a study group was selected after only 28 weeks of pregnancy. Results. The echographic signs suggestive of placenta increta were established. Conclusion. Ultrasound examination in patients with placenta previa is a valuable tool and, in most cases, may not only suggest that placental tissue grows into the myometrium, but also exclude this abnormality.

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Sobre autores

Yulia Boikova

PhD, ultrasonic diagnostics physician, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia 117997, Russia, Moscow, Ac. Oparina str. 4

Elena Ilieva

ultrasound diagnosis physician Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4

Nataliya Kan

Email: kan-med@mail.ru
MD, head of the obstetric observation department, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4

Elena Kulabukhova

PhD, radiologist Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4

Alexander Gus

MD, Professor. Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4

Bibliografia

  1. Abuhamad A., ed. Ultrasound in obstetrics and gynecology, a practilcal approach. Davies Publishing; 2014.
  2. Doumouchtsis S.K., Arulkumaran S. The morbidly adherent placenta: an overview of management options. Acta Obstet. Gynecol. Scand. 2010; 89(9): 1126-33.
  3. Publications Committee, Society for Maternal-Fetal Medicine, Belfort M.A. Placenta accreta. Am. J. Obstet. Gynecol. 2010; 203(5): 430-9.
  4. Wortman A.C., Alexander J.M. Placenta accreta, increta, and percreta. Obstet. Gynecol. Clin. North Am. 2013; 40(1): 137-54.
  5. Курцер М.А., Бреслав И.Ю., Лукашина М.В., Штабницкий А.М., Алексеева Т.В., Платицын И.В., Землянская Е.А. Истинное врастание плаценты (placenta accreta). Консервативная терапия. Акушерство и гинекология. 2011; 4: 118-22. [Kurtser M.A., Breslav I.Yu., Lukashina M.V., Shtabnitsky A. V., Alekseyeva T.V., Platitsyn I.V., Zemlyanskaya E.A. True placenta accreta: medical treatment. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2011; 4: 118-22. (in Russian)]
  6. Mazouni C., Gorincour G., Juhan V., Bretelle F. Placenta accreta: a review of current advances in prenatal diagnosis. Placenta. 2007; 28(7): 599-603.
  7. Esakoff T.F., Sparks T.N., Kaimal A.J., Kim L.H., Feldstein V.A., Goldstein R.B. et al. Diagnosis and morbidity of placenta accreta. Ultrasound Obstet. Gynecol. 2011; 37(3): 324-7.
  8. Tikkanen M., Paavonen J., Loukovaara M., Stefanovic V. Antenatal diagnosis of placenta accreta leads to reduced blood loss. Acta Obstet. Gynecol. Scand. 2011; 90(10): 1140-6.
  9. Hoxhaj O., Gjoni M., Alushani M., Bare T., Dede E., Bajraktari D. P30.04: The role of ultrasonography and color Doppler imaging in antenatal diagnosis of placenta accreta in high-risk patients. Ultrasound Obstet. Gynecol. 2010; 36(Suppl. 1): 283-4.
  10. Chalubinski K.M., Pils S., Klein K., Seemann R., Speiser P., Langer M., Ott J. Prenatal sonography can predict degree of placental invasion. Ultrasound Obstet. Gynecol. 2013; 42(5): 518-24.
  11. Bowman Z.S., Eller A.G., Kennedy A.M., Richards D.S., Winter T.C.III, Woodward P.J., Silver R.M. Accuracy of ultrasound for the prediction of placenta accrete. Am. J. Obstet. Gynecol. 2014; 211(2): 177. E1-7.
  12. D’Antonio F., Iacovella C., Bhide A. Prenatal identification of invasive placentation using ultrasound: systematic review and meta-analysis Ultrasound Obstet. Gynecol. 2013; 42(5): 509-17.

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