胎盘植入诊治面临的挑战与策略

Placenta accreta: challenging diagnosis and management strategies

胎盘植入可导致严重的产时出血,造成母亲产后出血,出血性休克,子宫切除,组织器官缺血再灌注损伤乃至孕产妇死亡,以及胎儿医源性早产发病率和死亡率升高。胎盘植入的处理策略是合理的期待治疗,多学科围分娩期管理,在维护患者生命安全的基础上,个体化治疗,尽量保留子宫,减少严重并发症发生。

Placenta accreta is associated not only with serious obstetrical hemorrhage resulting in peripartum hysterectomy and maternal mortality but also with medically indicated preterm birth paralleling with higher new born morbidity and mortality. Reasonable expected therapy together with multidisciplinary team care around delivery are cornerstones needed to pro- vide the best obstetric and medical care to these women. Tailored management approach guarantees the highest rates of patient safety, uterine reserve and se- rious complication reduction.