产前超声在不同孕期胎盘植入中的诊断价值

doi:10.6040/j.issn.1671-7554.0.2016.547

摘要/Abstract

摘要： 胎盘植入可导致严重的产科并发症。超声检查是诊断胎盘植入的首选影像学检查方法,胎盘植入的中晚孕期超声特征典型。近年来国内外学者对胎盘植入早孕期超声表现的研究增加,并提出瘢痕妊娠和胎盘植入之间关系密切。本文对胎盘植入的病理及分型、中晚孕期超声评价、早孕期超声表现、瘢痕妊娠和胎盘植入的关系进行了综述。

关键词: 胎盘植入, 凶险性前置胎盘, 瘢痕妊娠, 超声, 产前

Abstract: Placenta accreta may lead to severe obstetric complications. Ultrasonography is the first-rate imaging modality for its diagnosis. The typical ultrasonic characteristics of placenta accreta occur in the second and third trimester. Recently, with the increase of studies on the ultrasonic manifestations in the first trimester, researches indicate that there is a close correlation between cesarean scar pregnancy and placenta accreta. This article reviews the pathology and types of placenta accreta, ultrasonic evaluation in the second and third trimester, ultrasonic manifestations in the first trimester, and the relationship between cesarean scar pregnancy and placenta accreta.

Key words: Pernicious placenta previa, Cesarean scar pregnancy, Ultrasonography, Placenta accreta, Prenatal

中图分类号:

R714.46+2

陶国伟,王晓玲,石琳琳,丁婷婷. 产前超声在不同孕期胎盘植入中的诊断价值[J]. 山东大学学报（医学版）, 2016, 54(9): 10-13.

TAO Guowei, WANG Xiaoling, SHI Linlin, DING Tingting. Diagnostic value of prenatal ultrasound in placenta accreta of different trimesters of pregnancy[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(9): 10-13.

参考文献

[1] Chattopadhyay SK, Kharif H, Sherbeeni MM. Placenta praevia and accreta after previous caesarean section[J]. Eur J Obstet Gynecol Reprod Biol, 1993, 52(3):151-156.
[2] 连岩, 王谢桐. 胎盘植入的保守性手术治疗[J]. 实用妇产科杂志, 2013, 29(8): 565-568.
[3] Grobman WA, Gersnoviez R, Landon MB, et al. Pregnancy outcomes for women with placenta previa in relation to the number of prior cesarean deliveries[J]. Obstet Gynecol, 2007, 110(6):1249-1255.
[4] 张为远. 中华围产医学[M]. 北京: 人民卫生出版社, 2012: 470.
[5] Twickler DM, Lucas MJ, Balis AB, et al. Color flow mapping for myometrial invasion in women with a prior cesarean delivery[J]. Matern Fetal Med, 2000, 9(6):330-335.
[6] Berkley EM, Abuhamad AZ. Prenatal diagnosis of placenta accreta: is sonography all we need?[J]. J Ultrasound Med, 2013, 32(8):1345-1350.
[7] Garmi G, Salim R. Epidemiology, etiology, diagnosis, and management of placenta accreta[J]. Obstet Gynecol Int, 2012; 2012: 873929. doi:10.1155/2012/873929. Epub 2012 May 7.
[8] Dwyer BK, Belogolovkin V, Tran L, et al. Prenatal diagnosis of placenta accreta: sonography or magnetic resonance imaging?[J]. J Ultrasound Med, 2008, 27(9):1275-1281.
[9] Comstock CH, Love JJ Jr, Bronsteen RA, et al. Sonographic detection of placenta accreta in the second and third trimesters of pregnancy[J]. Am J Obstet Gynecol, 2004, 190(4):1135-1140.
[10] Finberg HJ, Williams JW. Placenta accreta: prospective sonographic diagnosis in patients with placenta previa and prior cesarean section[J]. Ultrasound Med, 1992, 11(7):333-343.
[11] Mar WA, Berggruen S, Atueyi U, et al. Ultrasound imaging of placenta accreta with MR correlation[J]. Ultrasound Q, 2015, 31(1): 23-33
[12] Calì G, Giambanco L, Puccio G, et al. Morbidly adherent placenta: evaluation of ultrasound diagnostic criteria and differentiation of placenta accreta from percreta[J]. Ultrasound Obstet Gynecol, 2013, 41(4):406-412.
[13] Mégier P, Gorin V, Desroches A. Ultrasonography of placenta previa at the third trimester of pregnancy: research for signs of placenta accreta/percreta and vasa previa. Prospective color and pulsed Doppler ultrasonography study of 45 cases[J]. J Gynecol Obstet Biol Reprod(Paris), 1999, 28(3):239-244.
[14] Shih JC, Palacios Jaraquemada JM, Su YN, et al. Role of three-dimensional power Doppler in the antenatal diagnosis of placenta accreta: comparison with gray-scale and color Doppler techniques[J]. Ultrasound Obstet Gynecol, 2009, 33(2):193-203.
[15] Chou MM, Ho ES, Lee YH. Prenatal diagnosis of placenta previa accreta by transabdominal color Doppler ultrasound[J]. Ultrasound Obstet Gynecol, 2000, 15(1):28-35.
[16] OBrien JM, Barton JR, Donaldson ES. The management of placenta percreta: conservative and operative strategies[J]. Am J Obstet Gynecol, 1996, 175(6):1632-1638.
[17] 陈丹, 马小燕, 欧阳春艳, 等. 三维能量多普勒超声定量评估正常胎盘血流灌注和胎盘植入[J]. 中国介入影像与治疗学, 2015, 12(6):345-348. CHEN Dan, MA Xiaoyan, OUYANG Chunyan, et al. Three-dimensional power doppler ultrasonic quantitative assessment of placental perfusion in normal pregnancies and placenta accrete[J]. Chinese Journal of Interventional Imaging and Therapy, 2015, 12(6):345-348.
[18] Judson E, Polyakov A, Lawrence A. Intra-abdominal haemorrhage at 17 weeks gestation caused by placenta percreta: a case report[J]. Aust N Z J Obstet Gynaecol, 2008, 48(2):220-221.
[19] 孟新月, 解丽梅. 超声及MRI在胎盘植入诊断中的应用现状及评价[J]. 中国介入影像与治疗学, 2013, 10(7):438-441. MENG Xinyue, XIE Limei. Application status and evaluation on ultrasound and MRI in diagnosis of placenta accrete[J]. Chinese Journal of Interventional Imaging and Therapy, 2013, 10(7):438-441.
[20] Chen YJ, Wang PH, Liu WM, et al. Placenta accreta diagnosed at 9 weeks' gestation[J]. Ultrasound Obstet Gynecol, 2002, 19(6):620-622.
[21] Yang JI, Kim HY, Kim HS, et al. Diagnosis in the first trimester of placenta accreta with previous Cesarean section[J]. Ultrasound Obstet Gynecol, 2009, 34(1):116-118.
[22] Ben Nagi J, Ofili-Yebovi D, Marsh M, et al. First-trimester cesarean scar pregnancy evolving into placenta previa/accreta at term[J]. Ultrasound Med, 2005, 24(11):1569-1573.
[23] Rac MW, Moschos E, Wells CE, et al. Sonographic Findings of Morbidly Adherent Placenta in the First Trimester[J]. J Ultrasound Med, 2016, 35(2):263-269.
[24] Rahimi-Sharbaf F, Jamal A, Mesdaghinia E, et al. Ultrasound detection of placenta accreta in the first trimester of pregnancy[J]. Iran J Reprod Med, 2014, 12(6):421-426.
[25] Ballas J, Pretorius D, Hull AD, et al. Identifying sonographic markers for placenta accreta in the first trimester[J]. J Ultrasound Med, 2012, 31(11):1835-1841.
[26] Comstock CH, Lee W, Vettraino IM, et al. The early sonographic appearance of placenta accrete[J]. J Ultrasound Med, 2003, 22(1):19-23.
[27] Moschos E, Wells CE, Twickler DM. Biometric sonographic findings of abnormally adherent trophoblastic implantations on cesarean delivery scars[J]. J Ultrasound Med, 2014, 33(3):475-481.
[28] Zosmer N, Fuller J, Shaikh H, et al. Natural history of early first-trimester pregnancies implanted in Cesarean scars[J]. Ultrasound Obstet Gynecol, 2015, 46(3):367-375.
[29] Wong HS, Cheung YK, Tait J. Sonographic study of the decidua basalis in the first trimester of pregnancy[J]. Ultrasound Obstet Gynecol, 2009, 33(6):634-637.
[30] Timor-Tritsch IE, Monteagudo A. Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review[J]. Am J Obstet Gynecol, 2012, 207(1):14-29.
[31] Timor-Tritsch IE, Monteagudo A, Cali G, et al. Cesarean scar pregnancy is a precursor of morbidly adherent placenta[J]. Ultrasound Obstet Gynecol, 2014, 44(3):346-353.
[32] Timor-Tritsch IE, Monteagudo A, Cali G, et al. Cesarean scar pregnancy and early placenta accreta share common histology[J]. Ultrasound Obstet Gynecol, 2014, 43(4):383-395.

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