胎盘植入性疾病剖宫产手术的关键解剖及手术要点  

Anatomy and key points of cesearean section with placenta accreta spectrum disorders

作　　者：孔令英[1] 杨慧霞[1] KONG Ling-ying;YANG Hui-xia(Department of Obstetrics&Gynecology and Reproductive Medicine,PekingUniversity First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院妇产生殖医学中心,北京100034

出　　处：《中国实用妇科与产科杂志》2025年第1期56-61,共6页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：中央高水平医院临床研究基金(22cz020401-4811009)。

摘　　要：在当前高危妊娠中,胎盘植入性疾病(PAS)严重威胁孕产妇的身体健康。文章探讨了PAS的高危因素,包括剖宫产术、子宫内膜损伤及修复异常,尤其是剖宫产瘢痕妊娠;阐述了PAS的病理机制,血管内皮生长因子(VEGF)导致的血管重建和胎盘绒毛组织异常侵入子宫肌层的现象;着重介绍PAS的区域解剖分类方法及其在临床手术中的应用,以及在PAS剖宫产手术中不同术式的关键解剖学特征和手术方法。Placental accreta spectrum disorders(PAS)seriously threatens the physical health of pregnant women. This article explores the high-risk factors for PAS,including cesarean section,endometrial injury and repair abnormalities,especially cesarean scar pregnancy;It elucidates the pathological mechanism of PAS,vascular remodeling caused by vascular en?dothelial growth factor(VEGF),and abnormal invasion of placental villus tissue into the uterine muscle layer;The article highlights the regional anatomical classi?fication method of PAS and its application in clinical surgery as well as the key anatomical features and surgical methods of different surgical procedures in PAS cesarean section surgery.

关 键 词：胎盘植入性疾病 剖宫产 解剖 

分 类 号：R719.8[医药卫生—妇产科学]