ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ RAU CÀI RĂNG LƯỢC Ở THAI PHỤ RAU TIỀN ĐẠO TRUNG TÂM CÓ MỔ ĐẺ CŨ TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objectives: Describe the clinical, sub-clinical characteristics and treatment results of placenta accreta in pregnant women with central placenta previa who had a previous cesarean section at Hanoi Obstetrics and Gynecology Hospital. Methods: This prospective study included 32 patients with central placenta previa with old cesarean section scars at Department A4 of Hanoi Obstetrics and Gynecology Hospital (from January 2021 to January 2022). Results: The average age of pregnant women with central placenta previa and old cesarean section scars was 36.5 years old. Common symptoms include: vaginal bleeding, abdominal pain, hematuria, anemia. Common signs on ultrasound include: Signs of loss of retroplacental clear zone, Lacunae signs , hypervascularity of the uterovesical. Among 25 cases diagnosed after surgery with placenta accreta, the rate of uterine preservation was 76%, and hysterectomy was 24%.  Conclusion: Placenta accreta is common in pregnant women with a history of cesarean section or multiple abortions. In addition to non-specific clinical and paraclinical symptoms, ultrasound symptoms have quite accurate diagnostic value. . The rate of uterine preservation in our study is quite