中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2022, Vol. 38 ›› Issue (4): 406-409.DOI: 10.19538/j.fk2022040107

• 专题笔谈 • 上一篇    下一篇

超声胎盘血流检查在胎盘植入性疾病中的作用

  

  1. 北京大学第三医院妇产科，北京  100191
  • 出版日期:2022-04-02 发布日期:2022-04-02
  • 通讯作者: 赵扬玉
  • 基金资助:
    首都卫生发展科研专项（首发2020-1-4093）；北京大学第三医院重点项目（BYSY2018002）

Role of placental blood flow ultrasonography in placenta accreta spectrum disorders.

  1. Department of Gynecology and Obstetrics，Peking University Third Hospital，Beijing 100083，China
  • Online:2022-04-02 Published:2022-04-02

摘要： 胎盘植入性疾病是指胎盘绒毛侵入子宫肌层，达到或穿透子宫浆膜层，甚至累及膀胱和直肠，可导致严重产后出血、育龄妇女子宫切除，甚至孕产妇死亡。常见的高危因素有前置胎盘、剖宫产史、高龄等。近年来，随着剖宫产率的上升，胎盘植入性疾病的发病率不断升高，依靠超声征象及胎盘血流检查，判断胎盘植入的凶险程度，规范孕妇管理，减少胎盘植入并发症具有重要价值。

关键词: 胎盘植入性疾病, 胎盘血流检查, 超声

Abstract: Placenta accrete spectrum disorders（PAS）is an abnormal invasion of the trophoblastic tissue through the myometrium and even involves the bladder and rectum，which can lead to severe postpartum bleeding，hysterectomy and even death. Common high-risk factors include placenta previa，previous cesarean delivery，advanced maternal age. Rise in cesarean section rate has led to an increase in the incidence of PAS. According to ultrasound signs and placental blood flow examination, we can predict the risk of PAS，standardize the management of pregnant women and reduce the complications of PAS，which is of great value.

Key words: placenta accrete spectrum disorders, placental blood flow examination, ultrasound

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