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[Two- and three-dimensional power Doppler ultrasound in the follow-up of placenta accreta treated conservatively]. / Apport de l'échographique 2D/3D dans le suivi de l'élimination du résidu placentaire après traitement conservateur de placenta accreta.
Roulot, A; Barranger, E; Morel, O; Soyer, P; Héquet, D.
Afiliación
  • Roulot A; Service de gynécologie-obstétrique, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
  • Barranger E; 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.
  • Morel O; 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.
  • Soyer P; 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.
  • Héquet D; 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.
J Gynecol Obstet Biol Reprod (Paris) ; 44(2): 176-83, 2015 Feb.
Article en Fr | MEDLINE | ID: mdl-24746586
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Placenta Accreta / Ultrasonografía Doppler / Monitoreo Fisiológico Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Newborn / Pregnancy Idioma: Fr Revista: J Gynecol Obstet Biol Reprod (Paris) Año: 2015 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Placenta Accreta / Ultrasonografía Doppler / Monitoreo Fisiológico Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Newborn / Pregnancy Idioma: Fr Revista: J Gynecol Obstet Biol Reprod (Paris) Año: 2015 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia