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粘连性胎盘、植入性胎盘及穿透性胎盘的处理

Author
Robert Resnik, MD
Section Editors
Charles J Lockwood, MD, MHCM
Deborah Levine, MD
Deputy Editor
Vanessa A Barss, MD, FACOG
Translators
梁兵, 主治医师

引言

在美国，内科医生处理粘连性胎盘、植入性胎盘和穿透性胎盘的方法有很大不同[1,2]。尽管已充分描述了粘连性胎盘对妊娠结局的影响，但是关于并发该疾病的妊娠的处理尚未进行过随机对照试验而只有极少的研究。因此，粘连性胎盘、植入性胎盘和穿透性胎盘的治疗推荐基于病例系列研究和报道、个人经验和良好的临床判断。

除穿透性胎盘侵入子宫外组织外，粘连性胎盘、植入性胎盘和穿透性胎盘的处理本质上相同。除非另外注明，粘连性胎盘的下列讨论适用于所有深度的胎盘侵入。

产前保健

所有粘连性胎盘患者均应被告知疑似诊断和可能的后遗症(如，出血、输血、剖宫产子宫切除术、母亲收入重症监护病房)。同母胎医学专家会诊是可取的。

对于前置胎盘粘连的患者，产前保健应遵循前置胎盘处理的标准指南(参见“前置胎盘的处理”)：

●纠正缺铁性贫血(若存在)

             

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Literature review current through: 2017-06 . | This topic last updated: 2017-02-03.
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