摘要
凶险型前置胎盘是指有剖宫产史的产妇,此次妊娠胎盘附着于原切口处。随着近年来剖宫产率的升高,凶险型前置胎盘发病率也日益增多。凶险型前置胎盘及其严重的并发症也备受人们关注。该文旨在通过文献回顾,针对凶险型前置胎盘的高危因素、发病机制、诊断和临床并发症,探讨其预处理及治疗方案的选择。结果提示,对于凶险型前置胎盘,子宫切除手术是最为有效的治疗方法,多学科综合治疗可有效降低孕产妇及胎儿的死亡率。
Pernicious placenta praevia is an obstetric complication that placenta attaches to the original incision of parturient with cesarean section.In recent years, with the increasing rate of cesarean delivery, annual incidence of pernicious placenta praevia is also rising. Pernicious placenta praevia and its severe complications have attracted much attention.Pretreatment and treatment therapy are discussed by retrospective analysis of literatures in terms of high risk factors, pathogenesis, diagnosis and clinical complications.Results show that hysterectomy is the most effective treatment for pernicious placenta praevia, and multidisciplinary treatment may effectively reduce maternal and fetal mortality.
出处
《中国妇幼健康研究》
2015年第4期902-905,共4页
Chinese Journal of Woman and Child Health Research
基金
陕西省科学技术研究发展计划项目(No.2014K11-01-01-18)
西安交通大学医学院第二附属医院临床新技术项目(No.20140506-20)
关键词
凶险型前置胎盘
发病率
诊断
治疗
pernicious placenta praevia
morbidity
diagnosis
treatment
