凶险性前置胎盘的研究进展  

Research progress of sinister placenta previa

作　　者：蔡明琴 胡琼 CAI Mingqin;HU Qiong(Department of Gynecology and Obstetrics,Affiliated Hospital of Zunyi Medical University,Guizhou,Zunyi 563000,China;Department of Obstetrics,Affiliated Hospital of Zunyi Medical University,Guizhou,Zunyi 563000,China)

机构地区：[1]遵义医科大学附属医院妇产科,贵州遵义563000 [2]遵义医科大学附属医院产科,贵州遵义563000

出　　处：《中国医药科学》2021年第8期48-51,共4页China Medicine And Pharmacy

摘　　要：近年来,随着二胎政策的实施,妊娠合并瘢痕子宫妇女比例增加,使得凶险型前置胎盘发病率呈逐年升高趋势。凶险型前置胎盘是妊娠期最严重的并发症之一,发生机制普遍认为是妊娠期子宫胎盘-胎儿灌注不足,诱导胎盘发生形态学变化,从而增加了母婴围产期发病率及死亡率。近年来成为了产科医师着重关注的妊娠期并发症之一。如何筛查高危人群、孕产期注意事项及治疗措施等是高危孕产妇需被关注的热点问题。本文借助国内外最新循证医学及最新研究成果,就凶险型前置胎盘的发生机制、病因、临床症状进行概述,对凶险型前置胎盘的治疗展开详述。In previous years,with the implementation of the second child policy,the proportion of pregnant women with scarred uterus has increased,which m akes the incidence of s inister placenta previa increase year by year.Sinister placenta previa is one of the most serious complications during pregnancy,and its mechanism is generally considered to be insufficient placental-fetal perfusion during pregnancy,which induces morphological changes in placenta,thus increasing perinatal morbidity and mortality of mother and infant.In previous years,it has become one of pregnancy complications that obstetricians pay attention to.Countermeasures to screen high-risk groups,precautions during pregnancy and childbirth,and treatment measures are the hot issues that need to be paid attention to for high-risk pregnant women.With the assistance of the latest evidence-based medicine and the latest research results at home and abroad,the mechanism,etiology and clinical symptoms of sinister placenta previa were summarized in this paper,and the treatment of sinister placenta previa was elaborated.

关 键 词：凶险性前置胎盘 瘢痕子宫 球囊闭塞术 难治性大出血 钳夹 

分 类 号：R714.2[医药卫生—妇产科学]