Two- and three-dimensional power Doppler ultrasound in the follow-up of placenta accreta treated conservatively - Archive ouverte HAL Access content directly
Journal Articles Journal de Gynécologie Obstétrique et Biologie de la Reproduction Year : 2015

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

(1) , (1, 2) , (3, 4) , (5, 2) , (1, 2)
1
2
3
4
5

Abstract

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.
Not file

Dates and versions

hal-01731786 , version 1 (14-03-2018)

Identifiers

Cite

A. Roulot, E. Barranger, O. Morel, P. Soyer, D. Héquet. Two- and three-dimensional power Doppler ultrasound in the follow-up of placenta accreta treated conservatively. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 2015, 44 (2), pp.176 - 183. ⟨10.1016/j.jgyn.2014.02.007⟩. ⟨hal-01731786⟩
13 View
0 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More