美国妇产科医师协会与母胎医学会胎盘植入性疾病指南(2018年)解读

2019-10-30 实用妇产科杂志.2019,35(10):739-742.

胎盘植入是指滋养层细胞异常侵及部分或全部子宫肌层的一组疾病,又称为病理性黏附性胎盘,其发生机制可能是由于子宫内膜与肌层界面缺陷引起蜕膜化异常,从而导致胎盘绒毛或滋养层异常侵入子宫肌层。根据胎盘植入的深度,可将其分为胎盘黏附( adherent placenta accreta) 、胎盘植入( placenta increta)、穿透性胎盘植入( placenta percreta) 。但在临床中,

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美国妇产科医师协会与母胎医学会胎盘植入性疾病指南(2018年)解读

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2019-10-30

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胎盘植入是指滋养层细胞异常侵及部分或全部子宫肌层的一组疾病,又称为病理性黏附性胎盘,其发生机制可能是由于子宫内膜与肌层界面缺陷引起蜕膜化异常,从而导致胎盘绒毛或滋养层异常侵入子宫肌层。根据胎盘植入的深度,可将其分为胎盘黏附( adherent placenta accreta) 、胎盘植入( placenta increta)、穿透性胎盘植入( placenta percreta) 。但在临床中,胎盘植入的情况是复杂多样的,部分病例还存在同一胎盘中不同植入程度的情况。最近,国际妇产科联盟( International Federation of Gynecology and Obstetrics,FIGO) 、美国妇产科医师协会( the American Collegeof Obstetricians and Gynecologists,ACOG) 和母胎医学会( the Society for Maternal-Fetal Medicine,SMFM)等组织已经将这些名称统一称为胎盘植入性疾病( Placenta accrete spectrum,PAS) ,以兼顾绒毛细胞的侵入深度和范围,方便对这些患者进行管理。

作者:广州医科大学附属第三医院妇产科研究所 谭虎 陈敦金 

拓展指南:胎盘相关指南:

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    2021-11-28 D-House

    学习了

    0

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    2021-06-23 ms1000001641555426

    后壁胎盘的可以对胎盘形成初期做出判断

    0

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    2021-04-07 ms6000001015893838

    资料好好,但无法分享,遗憾!

    0

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    2020-12-02 圆肥仔

    值得学习

    0