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

doi:10.3877/cma.j.issn.2095-3259.2023.03.002

Abstract

Abstract:

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

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.

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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

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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