重视非创伤性因素的胎盘植入性疾病的识别和防治  

Diagnosis,prevention and treatment of placenta accreta spectrum with non-traumatic factors

作　　者：罗世君 张丽姿 陈敦金[1] LUO Shijun;ZHANG Lizi;CHEN Dunjin(Department of Obstetrics and Gynecology,the Third Affiliated Hospital,Guang-zhou Medical University,Guangdong Provincial Key Laboratory of Major Obstetric Diseases,Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology,Guangdong-Hong Kong-Macao Greater Bay Area Higher Edu-cation Joint Laboratory of Maternal-Fetal Medicine,Guangzhou 510150,Guangdong,China)

机构地区：[1]广州医科大学附属第三医院妇产科,广东省产科重大疾病重点实验室,广东省妇产疾病临床医学研究中心,粤港澳母胎医学高校联合实验室,广东广州510150

出　　处：《实用医学杂志》2024年第21期2971-2975,共5页The Journal of Practical Medicine

基　　金：国家重点研发计划项目(编号:2022YFC2704500,2022YFC2704501);国家自然科学基金项目(编号:81830045,82171666,82071652)。

摘　　要：胎盘植入性疾病是严重产后出血及急诊子宫切除非常重要的一个原因。近些年,胎盘植入性疾病的发生率呈不断上升趋势,除与创伤性子宫损伤因素,如升高的剖宫产率有关外,其他非创伤性因素,如子宫畸形、子宫内膜炎、子宫腺肌症、体外受精-胚胎移植等,也需要得到重视。本文围绕非创伤性因素的胎盘植入性疾病的早期识别、规范诊断及重视防治,进而改善此类产妇不良结局进行展开探讨。Placenta accreta spectrum is a prevalent cause of severe postpartum hemorrhage and emergency hysterectomy.In recent years,there has been an increasing incidence of placenta accreta spectrum.Besides traumatic uterine injury factors such as elevated cesarean section rates,other non-traumatic factors including uterine malformation,endometritis,uterine adenomyosis,in vitro fertilization-embryo transfer also warrant serious consideration.This article focuses on early disease detection,standardized diagnosis,prevention,and treatment of placental implantation disorders associated with non-traumatic factors to enhance the adverse outcomes for these parturients.

关 键 词：非创伤性子宫损伤 胎盘植入性疾病 危险因素 诊断 

分 类 号：R714.462[医药卫生—妇产科学]