凶险性前置胎盘的诊疗进展
Progress in the Diagnosis and Treatment of Pernicious Placenta Previa
DOI: 10.12677/ACM.2020.108261, PDF,   
作者: 贺改霞, 李红梅:延安大学研究生院,陕西 延安;延安大学附属医院妇产科,陕西 延安
关键词: 凶险性前置胎盘大出血诊治Pernicious Placenta Previa Massive Hemorrhage Diagnosis and Treatment
摘要: 随着剖宫产率的增加,凶险性前置胎盘的发生率也逐年增加,不但增加了剖宫产手术的难度,还显著增加了产后大出血、子宫切除及其他相关并发症的风险,严重威胁母婴生命安全。本文总结凶险性前置胎盘的发病机制、临床表现、诊断和治疗方法、预防措施,为临床有效降低手术难度、减少出血量、减少子宫切除率、预防严重并发症发生、降低母婴死亡率提供参考价值。
Abstract: With the increase of the rate of cesarean section, the incidence of pernicious placenta previa increases year by year, which not only increases the difficulty of cesarean section, but also significantly increases the wind risk of postpartum hemorrhage, hysterectomy and other related complications. This paper summarizes the pathogenesis, clinical manifestations, diagnosis, treatment and preventive measures of pernicious placenta previa. It can provide reference value for effectively reducing the difficulty of operation, the amount of bleeding and the rate of hysterectomy, preventing serious complications and reducing maternal and infant mortality.
文章引用:贺改霞, 李红梅. 凶险性前置胎盘的诊疗进展[J]. 临床医学进展, 2020, 10(8): 1743-1746. https://doi.org/10.12677/ACM.2020.108261

参考文献

[1] 谢幸. 妇产科学[M]. 第9版. 北京: 人民卫生出版社, 2018.
[2] 刘福忠, 徐金霞, 刘瑜. 髂内动脉球囊临时阻断在凶险性前置胎盘剖宫产术中的应用[J]. 中华全科医师杂志, 2017, 16(9): 708-710.
[3] Fitzpatrick, K.E., Sellers, S., Spark, P., et al. (2015) The Management and Outcomes of Placenta Accreta, Increta, and Percreta in the UK: A Population-Based Descriptive Study. BJOG, 121, 62-71. [Google Scholar] [CrossRef] [PubMed]
[4] 赵虎, 林永红, 王彦, 等. 介入手术在凶险性前置胎盘治疗中的应用进展[J]. 中华介入放射学电子杂志, 2017, 5(3): 123-127.
[5] 吴敏明, 闫凤. 凶险型前置胎盘产后出血诊治分[J]. 中国卫生标准管理, 2016, 7(23): 56-58.
[6] 章小宝, 张莉. 22例凶险型前置胎盘诊治体会[J]. 安徽医药, 2015, 19(8): 1532-1533.
[7] Varavithya,V., Phongkitkarun, S., Raungrongmorakot, K., et al. (2013) The Influence of MR Imaging on Changes in Patient Counseling in Obstetric Patients with Suspected Fetal Anomalies by Ultrasound. Journal of the Medical Association of Thailand, 96, 839-848.
[8] 余琳, 胡可佳, 杨慧霞, 等. 2008-2014年凶险性前置胎盘的回顾性临床研究[J]. 中华妇产科杂志, 2016, 51(3): 169-173.
[9] 黄敏红, 钟凌丽. 综合手术应用于凶险型前置胎盘围手术期治疗的效果[J]. 中国现代医生, 2016, 54(32): 68-70.
[10] 柳亚芬. 凶险型前置胎盘的诊治进展[J]. 中国临床医生杂志, 2017, 45(6): 15-17.
[11] Rac, M.W., Wells, C.E., Twickler, D.M., et al. (2015) Placenta Accreta and Vaginal Bleeding According to Gestational Age at Delivery. Obstetrics and Gynecology, 125, 808-813. [Google Scholar] [CrossRef
[12] FIGO (2018) International Federation of Gynecology and Obsterics. FIGO Consensus Guidelines on Placenta Accreta Spectrum Disorders. International Journal of Gynecology & Obstetrics, 140, 261-298. [Google Scholar] [CrossRef] [PubMed]
[13] 汪革平, 李莹, 樊敏, 黄燕. 凶险性前置胎盘的诊治新进展[J]. 广西医科大学学报, 2018, 35(9): 1315-1317.
[14] 陈静, 那全, 庄艳艳, 等. 凶险型前置胎盘128例临床分析[J]. 中国实用妇科与产科杂志, 2015, 1(6): 539-542.
[15] Palacios, J.J.M. (2012) Placental Adhesive Disorders (Hot Topics in Perinatal Medicine). De Gruyter, Berlin.
[16] Lo, T.K., Yung, W.K., Lau, W.L., et al. (2014) Planned Conservative Management of Placenta Accreta Experience of a Regional General Hospital. The Journal of Maternal-Fetal & Neonatal Medicine, 27, 291-296. [Google Scholar] [CrossRef] [PubMed]
[17] Timmermans, S., Van Hof, A.C. and Duvekot, J.J. (2007) Conservative Management of Abnormally Invasive Placentation. Obstetrical & Gynecological Survey, 62, 529-539. [Google Scholar] [CrossRef] [PubMed]