前置胎盘并胎盘植入的诊断和处理策略

前置胎盘并胎盘植入常常导致产前尤其产时、产后不可预见且不易控制的大出血,大大增加了产科子宫切除的几率,严重威胁孕、产妇生命。多学科合作提高前置胎盘并胎盘植入的产前诊断率,合理期待治疗、适时终止妊娠;同时,重视围术期处理、做好防治产后出血的准备,尽量保守治疗、适时子宫切除,以降低孕、产妇并发症和死亡率,改善围生儿结局和产妇生活质量。

Diagnosis and treatment strategy for placenta previa and placenta accreta

Placenta previa associated with placenta abnormally firm attachment may cause obstetrical massive hemorrhage resulting in peripartum hysterectomy and maternal mortality.The standardized management strategy includes early accurate diagnosis,reasonably expected therapy,timely termination of pregnancy,emphasis on perioperative management,appropriate management of postpartum hemorrhage,trying to conservative treatment,and timely hysterectomy,to reduce maternal morbidity and mortality and improve maternal and pe...