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中华产科急救电子杂志

中华产科急救电子杂志 ›› 2023, Vol. 12 ›› Issue (03) : 133 -140. doi: 10.3877/cma.j.issn.2095-3259.2023.03.002

专家共识

预防性介入治疗在胎盘植入性疾病的应用专家共识(2023)
中国医师协会妇产科分会母胎医学专委会, 中华医学会围产医学分会重症学组   
  • 收稿日期:2023-04-21 出版日期:2023-08-18
  • 基金资助:
    国家重点研发计划(2022YFC2704500); 国家自然科学基金(82271709); 科技部重点研发计划课题(2022YFC2704504); 广东省自然科学基金(2023A1515010207); 广州市临床特色技术(2023P－TS29)

Expert consensus on the use of prophylactic interventional radiology in placenta accrete spectrum diseases

Maternal and Fetal Medicine Special Committee of Obstetrics and Gynecology Branch of Chinese Medical Doctor Association;, Critical Care Subgroup, Chinese Society of Perinatal Medicine, Chinese Medical Association   

  • Received:2023-04-21 Published:2023-08-18
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引用本文：

中国医师协会妇产科分会母胎医学专委会, 中华医学会围产医学分会重症学组. 预防性介入治疗在胎盘植入性疾病的应用专家共识(2023)[J]. 中华产科急救电子杂志, 2023, 12(03): 133-140.

Maternal and Fetal Medicine Special Committee of Obstetrics and Gynecology Branch of Chinese Medical Doctor Association;, Critical Care Subgroup, Chinese Society of Perinatal Medicine, Chinese Medical Association. Expert consensus on the use of prophylactic interventional radiology in placenta accrete spectrum diseases[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2023, 12(03): 133-140.

预防性介入治疗在胎盘植入性疾病治疗中的作用日益得到重视，已成为治疗胎盘植入严重产后出血的可选择方法之一，但临床尚缺乏操作指引，相关的适应证、介入方法选择、操作流程、注意事项、并发症预防等方面目前仍无统一标准。中国医师协会妇产科分会母胎医学专委会联合中华医学会围产医学分会重症学组组织专家讨论并参考国内外文献制订该共识，旨在为预防性介入治疗在胎盘植入性疾病中的应用提供依据和指导意见。

关键词: 侵入性胎盘, 血管内操作, 预防性手术

The role of prophylactic interventional radiology in the treatment of placenta accrete spectrum diseases has been paid more and more attention and has become one of the alternative methods to reduce severe postpartum hemorrhage in the treatment of placenta accreta. However, there is a lack of clinical operation guidelines, and there is still no uniform standard for technical indications, selection of different interventional methods, operation procedures, precautions, and prevention of complications. The Maternal and Fetal Medicine Special Committee of Obstetrics and Gynecology Branch of Chinese Medical Doctor Association and Critical Care Subgroup, Chinese Society of Perinatal Medicine, Chinese Medical Association have organized experts to discuss and refer to both domestic and international literature to formulate this consensus, which aims to provide a certain basis and guideline for the application of prophylactic interventional radiology in placenta accreta diseases.

Key words: Placenta accrete, Endovascular procedures, Prophylactic surgical procedures
表1 证据等级和推荐级别及说明
证据等级 说明 推荐级别 说明
Ⅰa 来自随机对照的荟萃分析文献 A 有良好和连贯的科学证据支持
Ⅰb 至少来自1个样本量足够的随机对照研究    
Ⅱa 来自1个设计严谨的非随机对照研究 B 有限的或不连贯的文献的支持
Ⅱb 至少来自1个设计严谨的试验性研究    
Ⅲ 至少来自1个设计良好的、非试验性描述研究，如相关性分析研究、比较性分析研究或病例报告    
N 来自专家委员会的报告或权威专家的经验 C 主要根据专家共识
    E 经验性结论，临床实践经验推荐，缺乏科学文献支持
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