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中华产科急救电子杂志 ›› 2023, Vol. 12 ›› Issue (03) : 143 -146. doi: 10.3877/cma.j.issn.2095-3259.2023.03.005

胎盘植入性疾病

病理组织学诊断在胎盘植入性疾病中的作用和意义
陈颖, 曾万江()   
  1. 430030 华中科技大学同济医学院附属同济医院妇产科
  • 收稿日期:2023-07-10 出版日期:2023-08-18
  • 通信作者: 曾万江
  • 基金资助:
    国家重点研发计划(2022YFC2704500)

The effect and significance of histopathological examination on the placenta accreta spectrum

Ying Chen, Wanjiang Zeng()   

  • Received:2023-07-10 Published:2023-08-18
  • Corresponding author: Wanjiang Zeng
引用本文:

陈颖, 曾万江. 病理组织学诊断在胎盘植入性疾病中的作用和意义[J]. 中华产科急救电子杂志, 2023, 12(03): 143-146.

Ying Chen, Wanjiang Zeng. The effect and significance of histopathological examination on the placenta accreta spectrum[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2023, 12(03): 143-146.

胎盘植入性疾病是导致产科危重症的主要疾病之一,表现为绒毛组织异常侵入子宫及临近器官,其发生率呈逐年上升趋势。病理组织学诊断是胎盘植入性疾病的金标准,为后续治疗提供依据。同时,病理组织学诊断还能帮助了解其发病机制,提高对该类疾病的认识和管理水平。

Placenta accreta spectrum (PAS) is one of the leading causes of obstetric emergencies, characterized by abnormal invasion of trophoblasts into the uterus and adjacent organs. The incidence of PAS is increasing all around world in recent years. Histopathological examination can accurately diagnose PAS, providing a basis for subsequent treatment. Additionally, histopathological examination also contributes to understand the pathogenesis and improve the management of PAS.

[1]
Jauniaux E, Ayres-De-Campos D, Langhoff-Roos J, et al. FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders[J]. Int J Gynaecol Obstet2019146(1):20-24.
[2]
Silver RM, Branch DW. Placenta accreta spectrum[J]. N Engl J Med2018378(16):1529-1536.
[3]
Ming Y, Zeng X, Zheng T, et al. Epidemiology of placenta accreta spectrum disorders in Chinese pregnant women: a multicenter hospital-based study[J]. Placenta2022126:133-139.
[4]
Jauniaux E, Bunce C, Grønbeck L, et al. Prevalence and main outcomes of placenta accreta spectrum: a systematic review and meta-analysis[J]. Am J Obstet Gynecol2019221(3):208-218.
[5]
黄启涛,段燕婷,谭慧悦,等. 加拿大妇产科医师协会(SOGC)"胎盘植入谱系疾病的筛查、诊断和处理"指南(2019)要点解读[J]. 妇产与遗传(电子版)20199(3):7-13.
[6]
Redline RW, Roberts DJ, Parast MM, et al. Placental pathology is necessary to understand common pregnancy complications and achieve an improved taxonomy of obstetrical disease[J]. Am J Obstet Gynecol2023228(2):187-202.
[7]
Freedman AA, Miller GE, Ernst LM. Chronic villitis: refining the risk ratio of recurrence using a large placental pathology sample[J]. Placenta2021112:135-140.
[8]
Christians JK, Huicochea Munoz MF. Pregnancy complications recur independently of maternal vascular malperfusion lesions[J]. PLoS One202015(2): 1-16.
[9]
曾晚,刘从容,黄欣,等. 胎盘植入性疾病分子机制和病理诊断研究进展[J]. 生殖医学杂志202231(2):268-272.
[10]
朱方玉,漆洪波. 2018 FIGO胎盘植入性疾病指南解读[J].中国实用妇科与产科杂志201834(12):1353-1359.
[11]
Moreno I, Capalbo A, Mas A, et al. The human periconceptional maternal-embryonic space in health and disease[J]. Physiol Rev2023103(3):1965-2038.
[12]
Mcnally L, Zhou Y, Robinson JF, et al. Up-regulated cytotrophoblast DOCK4 contributes to over-invasion in placenta accreta spectrum[J]. Proc Natl Acad Sci U S A2020117(27):15852-15861.
[13]
Jauniaux E, Jurkovic D. Placenta accreta: pathogenesis of a 20th century iatrogenic uterine disease[J]. Placenta201233(4):244-251.
[14]
Jauniaux E, Collins S, Burton GJ. Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging[J]. Am J Obstet Gynecol2018218(1):75-87.
[15]
Moffett A, Shreeve N. Local immune recognition of trophoblast in early human pregnancy: controversies and questions[J]. Nat Rev Immunol202323(4):222-235.
[16]
Gao L, Chen H, Liu J, et al. Extravillous trophoblast invasion and decidualization in cesarean scar pregnancies[J]. Acta Obstet Gynecol Scand2022101(10):1120-1128.
[17]
Li N, Hou R, Liu C, et al. Integration of transcriptome and proteome profiles in placenta accreta reveals trophoblast over-migration as the underlying pathogenesis[J]. Clin Proteomics202118(1):1-12.
[18]
Ma Y, Hu Y, Ma J. Animal models of the placenta accreta spectrum: current status and further perspectives[J]. Front Endocrinol (Lausanne)202314:1-11.
[19]
Flo K, Widnes C, Vårtun Å,et al. Blood flow to the scarred gravid uterus at 22-24 weeks of gestation[J]. Bjog2014121(2):210-215.
[20]
Jauniaux E, Hussein AM, Elbarmelgy RM, et al. Failure of placental detachment in accreta placentation is associated with excessive fibrinoid deposition at the utero-placental interface[J]. Am J Obstet Gynecol2022226(2):243.e1-243.e10.
[21]
Jauniaux E, Jurkovic D, Hussein AM, et al. New insights into the etiopathology of placenta accreta spectrum[J]. Am J Obstet Gynecol2022227(3):384-391.
[22]
Jauniaux E, Hussein AM, Einerson BD, et al. Debunking 20(th) century myths and legends about the diagnosis of placenta accreta spectrum[J]. Ultrasound Obstet Gynecol202259(4):417-423.
[23]
Jauniaux E, Zosmer N, Subramanian D, et al. Ultrasound-histopathologic features of the utero-placental interface in placenta accreta spectrum[J]. Placenta202097:58-64.
[24]
谭虎,陈敦金. 美国妇产科医师协会与母胎医学会胎盘植入性疾病指南(2018年)解读[J]. 实用妇产科杂志201935(10):739-742.
[25]
Roeca C, Little SE, Carusi DA. Pathologically Diagnosed Placenta Accreta and Hemorrhagic Morbidity in a Subsequent Pregnancy[J]. Obstet Gynecol2017129(2):321-326.
[26]
Redline RW, Boyd TK, Roberts DJ. 胎盘和产科病理学[M]. 陶祥,李娟,译.1版.北京:北京科学技术出版社,2020:248-258.
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