胎盘植入性疾病的围产期管理  

Perinatal management of placental implantation diseases

作　　者：胡惠英 高劲松 Hu Huiying;Gao Jingsong(Department of Obstetrics&Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College National Clinical Research Center for Obstetric and Gynecology,Beijing 100730,China)

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院妇产科,国家妇产疾病临床医学研究中心,北京100730

出　　处：《中国医师杂志》2023年第9期1301-1305,共5页Journal of Chinese Physician

基　　金：国家重点研发计划资助(2022YFC2704505);中央高水平医院临床科研业务费资助(2022-PUMCH-B-075)。

摘　　要：胎盘植入性疾病(PAS)已经成为产后出血和围产期子宫切除的主要原因。胎盘植入手术风险大,做好高危患者PAS的排查和诊断,对重度PAS患者及时转诊,选择合适的手术时机,组建多学科团队,做好可靠的术前评估和充分的术前准备,制定合理的手术方案和抢救预案,并由有经验的医生实施手术,从而将风险降至最低。对患者临床诊治的规范化管理,将有助于改善妊娠结局,降低子宫切除率,减少孕产妇严重并发症率和死亡率。Placental implantation disorders(PAS)have become the main cause of postpartum hemorrhage and perinatal hysterectomy.The risk of placental implantation surgery is high.It is important to conduct screening and diagnosis of high-risk patients with PAS,promptly refer patients with severe PAS,choose appropriate surgical opportunities,form a multidisciplinary team,conduct reliable preoperative evaluation and sufficient preoperative preparation,develop reasonable surgical plans and rescue plans,and have experienced doctors perform the surgery to minimize the risk.Standardized management of clinical diagnosis and treatment for patients will help improve pregnancy outcomes,reduce hysterectomy rates,and reduce severe complications and mortality rates in pregnant and postpartum women.

关 键 词：侵入性胎盘 围产期 疾病管理 

分 类 号：R714.7[医药卫生—妇产科学]