胎盘植入的诊断及治疗现状研究

摘要

Placenta accreta is severe complications in obstetrics. The incidence and high risk of placenta accreta have increased dramatically with the increasing of cesarean section. It causes postpartum hemor-rhage, perforation of uterus, secondary infection, urologic injury and fistula formation even maternal and child deaths. Ultrasound scan plays an important role in diagnosis of placenta accreta. In equivocal cases, magnetic resonance imaging may be helpful. The treatment strategy has been changed. This article updates new progress in diagnosis and treatment of placenta accretes.%胎盘植入是产科严重的并发症之一，近年来随着剖宫产率的升高，胎盘植入的发生率和危险性也增加，易导致产后出血、子宫穿孔、继发感染、泌尿系统损伤及瘘管等并发症，严重时可致母婴死亡。 B型超声是诊断胎盘植入的常用方法，对难以诊断的病例，磁共振成像有辅助诊断作用。目前胎盘植入的治疗策略有所改变，该文就其诊断和治疗的研究进展予以综述。