早期妊娠稽留流产围手术期检查及优生检查建议专家共识

2020-12-08 中华医学会计划生育学分会 中国实用妇科与产科杂志.2020.36(12):1168-1171.

一般认为妊娠12周前,超声检查判定的宫内妊娠囊或胚胎停止生长,或胎心消失且妊娠组织未排出者,被称为早期妊娠稽留流产(missed early miscarriage,MEM)。MEM病因复杂多样,往往

中文标题:

早期妊娠稽留流产围手术期检查及优生检查建议专家共识

发布日期:

2020-12-08

简要介绍:

一般认为妊娠12周前,超声检查判定的宫内妊娠囊或胚胎停止生长,或胎心消失且妊娠组织未排出者,被称为早期妊娠稽留流产(missed early miscarriage,MEM)。MEM病因复杂多样,往往给患者带来沉重的心理负担,尤其是反复出现胚胎停止发育者。此外,MEM终止妊娠时,并发症的发生风险明显高于正常妊娠;反复MEM的患者,术中、术后出现并发症的风险更高。因此,MEM后实施全面、系统的检查及适当治疗,对避免MEM反复发生非常重要。本专家共识参考国际相关指南,结合我国临床工作中的实际情况,旨在为管理早期MEM患者终止妊娠时进行围手术期检查、术后避孕指导及再次备孕前优生相关检查提供参考。MEM相关检查,除终止妊娠前的常规检查外,还应包括有助于分析MEM病因的优生检查,以便患者再次妊娠时获得良好的妊娠结局。此外,尽管影响胚胎发育的因素具有多样性,但并不是所有针对性治疗均能有效改善妊娠结局,故建议选择性检查。父源性因素相关检查不在本共识关注范围。

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    2021-04-07 湘雅科教

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    2020-12-31 oo902

    早期妊娠稽留流产

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