积极开展胎盘植入性疾病的预测,提高胎盘植入性疾病诊治水平

Predicting and improving the diagnosis and treatment of placental implantation diseases

胎盘植入性疾病(PAS)是滋养细胞异常侵袭的一种妊娠并发症。近年来PAS发病率不断增高,常造成严重不良结局,产前预测对于PAS患者安全分娩意义重大。剖宫产和前置胎盘是PAS最常见的高危因素。多普勒超声是首选预测诊断PAS的影像学检查方法。MRI作为预测PAS的补充手段,近年来应用也不断增多。同时在母体血清中检测到的生物标志物也可预测妊娠期间的PAS。病史、影像学检查和生物标志物对PAS的预测将是未来研究的热点。

Placental implantation disease(PAS)is a pregnancy complication caused by abnormal invasion of trophoblasts.Recently,the incidence rate of PAS has been increasing,which often leads to serious adverse outcomes.Prenatal prediction is of great significance for the safe delivery of PAS patients.Cesarean section and placenta previa are the most common high-risk factors for PAS.Doppler ultrasound is the preferred imaging examination method for predicting the diagnosis of PAS.Magnetic resonance imaging(MRI),as a supplementary method for predicting PAS,has been increasingly used in recent years.The biomarkers detected in maternal serum can also predict PAS during pregnancy.The prediction of PAS by medical history,imaging examinations,and biomarkers will be a hot topic in future research.