摘要:例1 女,27岁。停经9个月余,阵痛2h。产科初步诊断:孕39^+2周,先兆临产。入院次日行催产素引产经阴道顺娩一活婴。产后30min行人工剥离胎盘及钳刮术,徒手剥离约1/3面积,疑胎盘植入停止手术。术后第4天,B超检查显示子宫内见高回声团,病灶大部分达前壁肌层及后壁肌层内。超声诊断:产后子宫,胎盘植入。MRI示子宫形态呈产后状态,宫腔内见大小约10.0cm×5.6cm×6.5cm的异常信号影,在T1WI呈等信号,在短时反转恢复序列(STIR)及T2WI呈高信号(图1,2),病灶侵入子宫深肌层,宫底右侧肌层受累范围广(图2).MRI诊断产后胎盘植入。经天花粉蛋白治疗10d后排出一胎盘样组织,大小约8cm×8cm×3cm,病理证实为胎盘组织。
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