title: [Two- and three-dimensional power Doppler ultrasound in the follow-up of placenta accreta treated conservatively].
abstract: OBJECTIVE
  To determinate the potential of 2D and 3D-ultrasound in the follow-up of patients with placenta accreta treated conservatively.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Roulot
authors.affiliation: 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.
authors.forename: E
authors.initials: E
authors.lastname: Barranger
authors.affiliation: 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.
authors.forename: O
authors.initials: O
authors.lastname: Morel
authors.affiliation: 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.
authors.forename: P
authors.initials: P
authors.lastname: Soyer
authors.affiliation: 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.
authors.forename: D
authors.initials: D
authors.lastname: Héquet
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007231:Infant, Newborn; D008991:Monitoring, Physiologic / Q000379:methods*; D010921:Placenta Accreta / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000628:therapy; D011181:Postnatal Care / Q000379:methods; D011247:Pregnancy; D011644:Puerperal Disorders / Q000453:epidemiology / Q000628:therapy; D018608:Ultrasonography, Doppler / Q000379:methods*; D055815:Young Adult
keywords: 3D-ultrasound; Conservative management; Placenta accreta-percreta; Traitement conservateur; Échographie 3D