胎儿生长受限的胎盘因素及其临床诊治

Placental factor and clinical diagnosis and treatment of fetal growth restriction

胎儿生长受限又称宫内生长受限,是产科常见并发症之一,也是围产儿死亡的第2大原因。可引起多种围产不良结局,且与多种远期成年疾病相关。因此,及早进行病因学诊断,合理监测胎儿健康状况,准确评估胎儿生长发育情况以及选择合适分娩方式,适时终止妊娠对于改善胎儿生长受限预后,降低围产儿病率和死亡率至关重要。

Fetal growth restriction, also known as in- trauterine growth restriction, is one of the common complications of pregnancy in obstetrics. And it is also the second reason of perinatal death which has been associated with a variety of adverse perinatal outcomes and long-term complications in later life. So it is es- sential to make etiology diagnosis timely, monitor the fetal growth and well-being closely, and determine the ootimal time for and route of delivery for the purpose of improving the outcomes and reducing perinatal mor- bidity and mortality of FGR fetus.