胎盘植入性疾病诊断和处理指南(2023)

Guideline for diagnosis and treatment of placenta accreta spectrum disorders(2023)

胎盘植入性疾病是孕期子宫破裂、严重产后出血、产科紧急子宫切除乃至孕产妇死亡的重要原因。中华医学会妇产科学分会产科学组联合中国医师协会妇产科分会母胎医师专委会制订了本指南,详细阐述了胎盘植入性疾病的定义、高危因素、诊断、临床管理、终止妊娠的时机、围手术期和围分娩期的管理要点等,以指导胎盘植入性疾病的临床诊治及管理。

Placenta accreta spectrum disorders(PAS)are major causes of uterine rupture during pregnancy,severe postpartum hemorrhage,emergency obstetric hysterectomy,and even maternal death.The Obstetrics Group of the Society of Obstetrics and Gynecology of the Chinese Medical Association and the Maternal and Fetal Medicine Special Committee of Obstetrics and Gynecology Branch of Chinese Medical Doctor Association collaborated to formulate this guideline.It included a comprehensive description of the definition,high-risk factors,diagnosis,clinical management,timing of delivery,perioperative management,and key points of perinatal management,aiming to provide clinical guidance and management for the clinical diagnosis and treatment of PAS.