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作 者:姜贺 徐琳[2] 商成杰 JIANG He;XU Lin;SHANG Chengjie(School of Clinical Medicine,Changchun University of Chinese Medicine,Jilin Province,Changchun 130000,China;Department of Obstetrics and Gynecology,Jilin Province Peopl e’s Hospital,Jilin Province,Changchun 130000,China)
机构地区:[1]长春中医药大学临床医学院,吉林长春130000 [2]吉林省人民医院妇产科,吉林长春130000
出 处:《妇儿健康导刊》2023年第21期16-18,22,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
摘 要:胎盘植入性疾病(PAS)是胎盘组织不同程度地侵入子宫肌层的一组疾病,属于产科极危重并发症。PAS的病因及发病机制尚未明确,但PAS的高危因素较多,包括前置胎盘、既往剖宫产史、宫腔手术史、体外受精等。胎盘植入会引起产后大出血、邻近器官损伤等一系列并发症,严重影响母婴安全。本文就PAS的高危因素及诊疗进展进行综述,有助于预测高风险人群,早诊断、早干预,减少不良妊娠结局的发生。Placenta accreta spectrum(PAS)is a group of diseases in which placental tissue invades the myometrium to varying degrees,which is a very serious complication in obstetrics.The etiology and pathogenesis of PAS are not clear,but there are many high-risk factors for PAS,including placenta previa,history of cesarean section,history of uterine surgery,and in vitro fertilization.Placenta accreta can cause a series of complications such as postpartum hemorrhage and adjacent organ damage,which seriously affect the safety of mother and child.This article reviews the progress of high-risk factors,diagnosis and treatment of PAS,which is helpful for predicting high-risk groups,early diagnosis and early intervention,and reducing the occurrence of adverse pregnancy outcomes.
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