凶险性前置胎盘的介入治疗进展

Progress in the interventional therapy of pernicious placenta previa

随着两孩政策的放开,凶险性前置胎盘的发病率随之升高,其病情凶险,严重危及孕产妇生命,其分娩方式主要是剖宫产.降低凶险性前置胎盘孕产妇的手术风险是产科医生不懈追求的目标.现就目前凶险性前置胎盘的几种辅助治疗方法予以总结,主要包括药物与非药物治疗,非药物治疗又包括加压宫腔填塞、血管结扎与介入治疗等.其中介入治疗的发展尤为迅速,治疗方案多种多样,现将各种治疗方案的效果与不足及临床运用前景进行综述.

With the opening of the second child policy,the incidence of pernicious placenta previa increases, which is dangerous and seriously endangers the life of pregnant and parturition. The main way of delivery is cesarean section. Reducing the risk of pernicious placenta previa is the goal of obstetrician. At present,several methods of adju-vant therapy for the pernicious placenta previa are summarized,including drug and non-drug treatment,non-drug therapy including pressurized uterine cavity filling, vascular ligation and interventional therapy. Among them, the development of interventional therapy is particularly rapid and the treatment options are varied.