摘要
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.
作者
陈敦金
孙雯
Chen Dunjin;Sun Wen(Department of Obstetrics and Gynecology,Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China;Guangdong Obstetric Diseases Clinical Medical Research Center,Guangzhou 510150,China;Key Laboratory for Major Obstetric Diseases of Guangdong Province,Guangzhou 510150,China)
出处
《中国医师杂志》
CAS
2023年第9期1281-1284,共4页
Journal of Chinese Physician
基金
国家重点研发计划(2022YFC2704500)
广州市科学技术局一般项目(202201010907)
广州市卫生健康委员会一般引导项目(20231A011094)。
关键词
侵入性胎盘
早期检测
Placenta accreta
Early detection