凶险性前置胎盘的诊疗进展

Progress in the Diagnosis and Treatment of Pernicious Placenta Previa

随着剖宫产率的增加,凶险性前置胎盘的发生率也逐年增加,不但增加了剖宫产手术的难度,还显著增加了产后大出血、子宫切除及其他相关并发症的风险,严重威胁母婴生命安全。本文总结凶险性前置胎盘的发病机制、临床表现、诊断和治疗方法、预防措施,为临床有效降低手术难度、减少出血量、减少子宫切除率、预防严重并发症发生、降低母婴死亡率提供参考价值。

With the increase of the rate of cesarean section, the incidence of pernicious placenta previa increases year by year, which not only increases the difficulty of cesarean section, but also significantly increases the wind risk of postpartum hemorrhage, hysterectomy and other related complications. This paper summarizes the pathogenesis, clinical manifestations, diagnosis, treatment and preventive measures of pernicious placenta previa. It can provide reference value for effectively reducing the difficulty of operation, the amount of bleeding and the rate of hysterectomy, preventing serious complications and reducing maternal and infant mortality.