胎盘前置状态孕妇中孕期引产的研究进展
|
摘要
胎盘前置状态作为前置胎盘的早期征象,病因迄今尚不明确,其转归情况复杂,治疗难度较大。胎盘前置状态孕妇中孕期因各种原因要求引产时,临床处理较为棘手。笔者拟就胎盘前置状态的病因、产前诊断方法,以及胎盘前置状态孕妇中孕期引产措施的最新研究进展进行综述,旨在为胎盘前置状态孕妇中孕期引产时,临床医师准确评估其病情严重程度,采取最佳个体化策略,保护其生育功能,而将母体损伤降至最低提供依据。
As an early sign of placenta previa, the etiology of placenta previa status is still unclear. Its prognosis is complex and the treatment is difficult. It is difficult to deal with when induced labor is performed on pregnant women in second-trimester with placenta previa status for various reasons. This article focuses on recent advances in etiology, prenatal diagnosis and in second-trimester pregnancy termination measures for pregnant women with placenta previa status, in order to provide references for clinicians to exactly evaluate the severity of placenta previa status, and adopt the best individualized strategy to timely terminate pregnancy to protect marital fertility and minimize maternal injury for pregnant women in second-trimester with placenta previa status.
As an early sign of placenta previa, the etiology of placenta previa status is still unclear. Its prognosis is complex and the treatment is difficult. It is difficult to deal with when induced labor is performed on pregnant women in second-trimester with placenta previa status for various reasons. This article focuses on recent advances in etiology, prenatal diagnosis and in second-trimester pregnancy termination measures for pregnant women with placenta previa status, in order to provide references for clinicians to exactly evaluate the severity of placenta previa status, and adopt the best individualized strategy to timely terminate pregnancy to protect marital fertility and minimize maternal injury for pregnant women in second-trimester with placenta previa status.
引文
[1]谢幸,孔北华,段涛.妇产科学[M].9版.北京:人民卫生出版社,2018:147-150.
[2]Dashe JS,Mcintire DD,Ramus RM,et al.Persistence of placenta previa according to gestational age at ultrasound detection[J].Obstet Gynecol,2002,99(5Pt 1):692-697.
[3]Kim LH,Caughey AB,Laguardia JC,et al.Racial and ethnic differences in the prevalence of placenta previa[J].JPerinatol,2012,32(4):260-264.
[4]方明娣,姜凡,张新书,等.胎盘附着位置与胎盘迁移的相关性研究[J].安徽医科大学学报,2013,48(6):668-670.
[5]Hung TH,Hsieh CC,Hsu JJ,et al.Risk factors for placenta previa in an Asian population[J].Int J Gynaecol Obstet,2007,97(1):26-30.
[6]Ananth CV,Demissie K,Smulian JC,et al.Placenta previa in singleton and twin births in the United States,1989through 1998:a comparison of risk factor profiles and associated conditions[J].Am J Obstet Gynecol,2003,188(1):275-281.
[7]Kiondo P,Wandabwa J,Doyle P.Risk factors for placenta praevia presenting with severe vaginal bleeding in Mulago hospital,Kampala,Uganda[J].Afr Health Sci,2008,8(1):44-49.
[8]梁青梅.80例前置胎盘患者产后出血的高危因素分析[D].大连:大连医科大学,2012.
[9]刘德红.前置胎盘的病因、诊断及治疗新进展[J].医学综述,2013,19(10):1797-1800.
[10]Rosenberg T,Pariente G,Sergienko R,et al.Critical analysis of risk factors and outcome of placenta previa[J].Arch Gynecol Obstet,2011,284(1):47-51.
[11]中华医学会妇产科学分会产科学组.前置胎盘的临床诊断与处理指南[J].中华妇产科杂志,2013,48(2):148-150.
[12]潘颜,常青,李锐,等.超声微泡造影评估瘢痕子宫妊娠引产风险的价值研究[J].实用妇产科杂志,2015,31(8):599-602.
[13]Hata T,Tanaka H,Noguchi J,et al.Three-dimensional ultrasound evaluation of the placental[J].Placenta,2011,32(18):105-115.
[14]Simon EG,Fouch■ CJ,Perrotin F.3D transvaginal ultrasonography appears more accurate than 2Din thimester evaluation of placenta previa[J].Ultrasound Obstet Gynecol,2012,8(4):20-23.
[15]侯燕燕,林婧,顾玮.前置胎盘合并胎盘植入的临床特点和产前诊断[J/CD].中华妇幼临床医学杂志(电子版),2017,13(5):524-531.
[16]中华医学会计划生育学分会.剖宫产后中期妊娠胎盘前置状态伴植入终止妊娠的专家共识[J].中华妇产科杂志,2018,53(9):585-589.
[17]黄田田,刘慧,向红.产前超声征象评分对前置胎盘合并胎盘植入的诊断价值[J].中国超声医学杂志,2016,32(2):160-163.
[18]王晶,杨太珠.凶险型前置胎盘合并胎盘植入的产前超声诊断及临床意义[J/CD].中华妇幼临床医学杂志(电子版),2014,10(3):320-323.
[19]王志坚,何艳红,钟梅.数字化三维重建技术在产科疾病诊治中的应用[J].中国实用妇科与产科杂志,2012,28(1):19-22.
[20]朱晓童,蒋敏,孔祥.母体血清学指标预测前置胎盘合并胎盘植入研究现状[J/CD].中华妇幼临床医学杂志(电子版),2018,14(4):477-482.
[21]Aust NZ.Placenta praevia and the risk of adverse outcomes during second trimester abortion:a retrospective cohort study[J].J Obstet Gynaecol,2017,57(1):99-104.
[22]中华人民共和国卫生部,国家计划生育委员会.常用计划生育技术常规[S].卫基妇发(2003)第32号,2003:26-28.
[23]于佳丽,苏日娜.探讨米非司酮临床应用的研究进展[J].中国妇产科临床杂志,2009,10(2):153-154.
[24]曹泽毅.中华妇产科学[M].3版.北京:人民卫生出版社,2014:2594-2606.
[25]吴惠莹,王蕊,沙小龙,等.孕中期胎盘前置状态终止妊娠手术方式的临床效果[J].局解手术学杂志,2017,26(8):602-604.
[26]刘晓霞,白云,林晓娟.米非司酮分别配伍依沙丫啶、米索前列醇在瘢痕子宫中期妊娠引产中的临床效果比较[J].昆明医科大学学报,2015,36(10):55-58.
[27]蒋倩颖,罗蒲英,熊员焕.中孕完全性前置胎盘状态引产方式的探讨[J].中国妇幼保健,2016,31(11):2260-2263.
[28]Chen C,Lin F,Wang X,et al.Mifepristone combined with ethacridine lactate for the second-trimester pregnancy termination in women with placenta previa and/or prior cesarean deliveries[J].Arch Gynecol Obstet,2017,295(1):119-124.
[29]李晓翠,徐蓓芬,方爱华.107例胎盘前置状态中期妊娠终止方法探讨[J].生殖与避孕,2011,31(11):781-785.
[30]汪洋.天花粉蛋白注射终止瘢痕子宫、前置胎盘中期妊娠的临床观察[J].安徽医药,2004,9(3):182.
[31]郑小平,谷荣华,吕杰强.天花粉用于前置胎盘中期妊娠引产的临床观察[J].实用中西医结合临床,2004,4(6):32.
[32]曾万江,高庆蕾,乔福元,等.胎儿心内注射氯化钾用于中央性前置胎盘(状态)引产的临床初探[J].华中科技大学学报(医学版),2010,39(4):544-546.
[33]尹明华.胎儿心腔注射氯化钾在中晚期妊娠合并前置胎盘引产中的效果观察[J].中国计划生育和妇产科,2015,7(2):65-67.
[34]陈义波,李丽,黄昊.胎儿心腔注射氯化钾在中晚期妊娠并前置胎盘引产中的价值[J].临床误诊误治,2009,2(4):21-22.
[35]张芳.剖宫产术后再次妊娠合并前置胎盘及植入中期引产方法的初探[D].济南:山东大学,2017.
[36]Brown BJ,Heaston DK,Poulson AM,et al.Uncontrollable postpartum bleeding:a new approach to hemostasis through angiographic arterial embolization[J].Obstet Gynecol,1979,54(3):361-365.
[37]Descargues G,Douvrin F,Degre S,et a1.Abnormal placentation and selective embolization of the uterine arteries[J].Eur J Obstet Reprod Biol,2001,99(1):47-52.
[38]程慧,张艳玲,汤欣,等.子宫动脉栓塞术辅助中、晚孕期前置胎盘孕妇剖宫产引产[J/CD].中华妇幼临床医学杂志(电子版),2017,13(1):46-50.
[39]陈怡君,张丹,龚晋,等.瘢痕子宫合并前壁胎盘完全性胎盘前置状态中期妊娠引产方式探讨[J].实用妇产科杂志,2013,29(5):370-372.
[40]Golzarian J,Sun SL,Sharafunddin MJ.Vascular embolotherapy[M].血管栓塞与介入手术.王峰,译.北京:人民军医出版社,2010:75-85.
[41]McLucas B,Voorhees WD,Snyder SA.Anti-Müllerian hormone levels before and after uterine artery embolization[J].Minim Invasive Ther Allied Technol,2018,27(3):186-190.
[42]Kim CW,Shim HS,Jang H,et al.The effects of uterine artery embolization on ovarian reserve[J].Eur J Obstet Gynecol,2016,11(26):172-176.
[43]Mara M,Horak P,Kubinova K,et al.Hysteroscopy after uterine fibroid embolization:evaluation of intrauterine findings in 127patients[J].J Obstet Gynaecol Res,2012,38(5):823-831.
[44]Chattopadhyay SK,Kharif H,Sherbeeni MM.Placenta previa and accreta after previous cesarean section[J].Eur JObstet Gyneoc Reprod Biol,1993,52(3):151-156.
[45]中华医学会妇产科学分会产科学组.剖宫产术后再次妊娠阴道分娩管理的专家共识(2016)[J].中华妇产科杂志,2016,51(8):561-564.
[46]田吉顺,潘飞霞,何赛男,等.瘢痕子宫合并前置胎盘孕妇孕中晚期引产的危险因素分析[J].浙江大学学报(医学版),2015,3(5):247-252.
[47]彭巧珍,张卫社.孕中期前置胎盘状态引产相关问题[J/CD].中华产科急救电子杂志,2015,4(2):77-80.
[48]王蕴慧.中期妊娠引产胎盘前置的处理[J].中国实用妇科与产科杂志,2012,28(9):663-666.
[49]潘天颖,刘兴会.胎盘植入患者的大量输血策略[J/CD].中华产科急救电子杂志,2014,3(1):8-12.
[50]于万芹,谭书卓,赵聪颖.海扶参与治疗凶险性前置胎盘伴胎盘植入的多学科管理[J].河北医科大学学报,2016,37(10):1184-1187.
[51]朱晓童,孔祥,郑英.介入治疗在前置胎盘合并胎盘植入剖宫产分娩中应用的研究进展[J/CD].中华妇幼临床医学杂志(电子版),2017,13(2):240-243.
[52]林清兰,曾淑梅.胎盘钳夹术在中期妊娠胎盘前置状态引产中的应用[J].中国计划生育和妇产科,2015,7(1):47-49.
[2]Dashe JS,Mcintire DD,Ramus RM,et al.Persistence of placenta previa according to gestational age at ultrasound detection[J].Obstet Gynecol,2002,99(5Pt 1):692-697.
[3]Kim LH,Caughey AB,Laguardia JC,et al.Racial and ethnic differences in the prevalence of placenta previa[J].JPerinatol,2012,32(4):260-264.
[4]方明娣,姜凡,张新书,等.胎盘附着位置与胎盘迁移的相关性研究[J].安徽医科大学学报,2013,48(6):668-670.
[5]Hung TH,Hsieh CC,Hsu JJ,et al.Risk factors for placenta previa in an Asian population[J].Int J Gynaecol Obstet,2007,97(1):26-30.
[6]Ananth CV,Demissie K,Smulian JC,et al.Placenta previa in singleton and twin births in the United States,1989through 1998:a comparison of risk factor profiles and associated conditions[J].Am J Obstet Gynecol,2003,188(1):275-281.
[7]Kiondo P,Wandabwa J,Doyle P.Risk factors for placenta praevia presenting with severe vaginal bleeding in Mulago hospital,Kampala,Uganda[J].Afr Health Sci,2008,8(1):44-49.
[8]梁青梅.80例前置胎盘患者产后出血的高危因素分析[D].大连:大连医科大学,2012.
[9]刘德红.前置胎盘的病因、诊断及治疗新进展[J].医学综述,2013,19(10):1797-1800.
[10]Rosenberg T,Pariente G,Sergienko R,et al.Critical analysis of risk factors and outcome of placenta previa[J].Arch Gynecol Obstet,2011,284(1):47-51.
[11]中华医学会妇产科学分会产科学组.前置胎盘的临床诊断与处理指南[J].中华妇产科杂志,2013,48(2):148-150.
[12]潘颜,常青,李锐,等.超声微泡造影评估瘢痕子宫妊娠引产风险的价值研究[J].实用妇产科杂志,2015,31(8):599-602.
[13]Hata T,Tanaka H,Noguchi J,et al.Three-dimensional ultrasound evaluation of the placental[J].Placenta,2011,32(18):105-115.
[14]Simon EG,Fouch■ CJ,Perrotin F.3D transvaginal ultrasonography appears more accurate than 2Din thimester evaluation of placenta previa[J].Ultrasound Obstet Gynecol,2012,8(4):20-23.
[15]侯燕燕,林婧,顾玮.前置胎盘合并胎盘植入的临床特点和产前诊断[J/CD].中华妇幼临床医学杂志(电子版),2017,13(5):524-531.
[16]中华医学会计划生育学分会.剖宫产后中期妊娠胎盘前置状态伴植入终止妊娠的专家共识[J].中华妇产科杂志,2018,53(9):585-589.
[17]黄田田,刘慧,向红.产前超声征象评分对前置胎盘合并胎盘植入的诊断价值[J].中国超声医学杂志,2016,32(2):160-163.
[18]王晶,杨太珠.凶险型前置胎盘合并胎盘植入的产前超声诊断及临床意义[J/CD].中华妇幼临床医学杂志(电子版),2014,10(3):320-323.
[19]王志坚,何艳红,钟梅.数字化三维重建技术在产科疾病诊治中的应用[J].中国实用妇科与产科杂志,2012,28(1):19-22.
[20]朱晓童,蒋敏,孔祥.母体血清学指标预测前置胎盘合并胎盘植入研究现状[J/CD].中华妇幼临床医学杂志(电子版),2018,14(4):477-482.
[21]Aust NZ.Placenta praevia and the risk of adverse outcomes during second trimester abortion:a retrospective cohort study[J].J Obstet Gynaecol,2017,57(1):99-104.
[22]中华人民共和国卫生部,国家计划生育委员会.常用计划生育技术常规[S].卫基妇发(2003)第32号,2003:26-28.
[23]于佳丽,苏日娜.探讨米非司酮临床应用的研究进展[J].中国妇产科临床杂志,2009,10(2):153-154.
[24]曹泽毅.中华妇产科学[M].3版.北京:人民卫生出版社,2014:2594-2606.
[25]吴惠莹,王蕊,沙小龙,等.孕中期胎盘前置状态终止妊娠手术方式的临床效果[J].局解手术学杂志,2017,26(8):602-604.
[26]刘晓霞,白云,林晓娟.米非司酮分别配伍依沙丫啶、米索前列醇在瘢痕子宫中期妊娠引产中的临床效果比较[J].昆明医科大学学报,2015,36(10):55-58.
[27]蒋倩颖,罗蒲英,熊员焕.中孕完全性前置胎盘状态引产方式的探讨[J].中国妇幼保健,2016,31(11):2260-2263.
[28]Chen C,Lin F,Wang X,et al.Mifepristone combined with ethacridine lactate for the second-trimester pregnancy termination in women with placenta previa and/or prior cesarean deliveries[J].Arch Gynecol Obstet,2017,295(1):119-124.
[29]李晓翠,徐蓓芬,方爱华.107例胎盘前置状态中期妊娠终止方法探讨[J].生殖与避孕,2011,31(11):781-785.
[30]汪洋.天花粉蛋白注射终止瘢痕子宫、前置胎盘中期妊娠的临床观察[J].安徽医药,2004,9(3):182.
[31]郑小平,谷荣华,吕杰强.天花粉用于前置胎盘中期妊娠引产的临床观察[J].实用中西医结合临床,2004,4(6):32.
[32]曾万江,高庆蕾,乔福元,等.胎儿心内注射氯化钾用于中央性前置胎盘(状态)引产的临床初探[J].华中科技大学学报(医学版),2010,39(4):544-546.
[33]尹明华.胎儿心腔注射氯化钾在中晚期妊娠合并前置胎盘引产中的效果观察[J].中国计划生育和妇产科,2015,7(2):65-67.
[34]陈义波,李丽,黄昊.胎儿心腔注射氯化钾在中晚期妊娠并前置胎盘引产中的价值[J].临床误诊误治,2009,2(4):21-22.
[35]张芳.剖宫产术后再次妊娠合并前置胎盘及植入中期引产方法的初探[D].济南:山东大学,2017.
[36]Brown BJ,Heaston DK,Poulson AM,et al.Uncontrollable postpartum bleeding:a new approach to hemostasis through angiographic arterial embolization[J].Obstet Gynecol,1979,54(3):361-365.
[37]Descargues G,Douvrin F,Degre S,et a1.Abnormal placentation and selective embolization of the uterine arteries[J].Eur J Obstet Reprod Biol,2001,99(1):47-52.
[38]程慧,张艳玲,汤欣,等.子宫动脉栓塞术辅助中、晚孕期前置胎盘孕妇剖宫产引产[J/CD].中华妇幼临床医学杂志(电子版),2017,13(1):46-50.
[39]陈怡君,张丹,龚晋,等.瘢痕子宫合并前壁胎盘完全性胎盘前置状态中期妊娠引产方式探讨[J].实用妇产科杂志,2013,29(5):370-372.
[40]Golzarian J,Sun SL,Sharafunddin MJ.Vascular embolotherapy[M].血管栓塞与介入手术.王峰,译.北京:人民军医出版社,2010:75-85.
[41]McLucas B,Voorhees WD,Snyder SA.Anti-Müllerian hormone levels before and after uterine artery embolization[J].Minim Invasive Ther Allied Technol,2018,27(3):186-190.
[42]Kim CW,Shim HS,Jang H,et al.The effects of uterine artery embolization on ovarian reserve[J].Eur J Obstet Gynecol,2016,11(26):172-176.
[43]Mara M,Horak P,Kubinova K,et al.Hysteroscopy after uterine fibroid embolization:evaluation of intrauterine findings in 127patients[J].J Obstet Gynaecol Res,2012,38(5):823-831.
[44]Chattopadhyay SK,Kharif H,Sherbeeni MM.Placenta previa and accreta after previous cesarean section[J].Eur JObstet Gyneoc Reprod Biol,1993,52(3):151-156.
[45]中华医学会妇产科学分会产科学组.剖宫产术后再次妊娠阴道分娩管理的专家共识(2016)[J].中华妇产科杂志,2016,51(8):561-564.
[46]田吉顺,潘飞霞,何赛男,等.瘢痕子宫合并前置胎盘孕妇孕中晚期引产的危险因素分析[J].浙江大学学报(医学版),2015,3(5):247-252.
[47]彭巧珍,张卫社.孕中期前置胎盘状态引产相关问题[J/CD].中华产科急救电子杂志,2015,4(2):77-80.
[48]王蕴慧.中期妊娠引产胎盘前置的处理[J].中国实用妇科与产科杂志,2012,28(9):663-666.
[49]潘天颖,刘兴会.胎盘植入患者的大量输血策略[J/CD].中华产科急救电子杂志,2014,3(1):8-12.
[50]于万芹,谭书卓,赵聪颖.海扶参与治疗凶险性前置胎盘伴胎盘植入的多学科管理[J].河北医科大学学报,2016,37(10):1184-1187.
[51]朱晓童,孔祥,郑英.介入治疗在前置胎盘合并胎盘植入剖宫产分娩中应用的研究进展[J/CD].中华妇幼临床医学杂志(电子版),2017,13(2):240-243.
[52]林清兰,曾淑梅.胎盘钳夹术在中期妊娠胎盘前置状态引产中的应用[J].中国计划生育和妇产科,2015,7(1):47-49.