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异常的胎盘和产科结果之间的关系:一个元分析
Shinya Matsuzaki1,2, Yutaka Ueda2, Satoko Matsuzaki3
1Department of Gynecology, Osaka International Cancer Institute, Osaka 541-8567, Japan.
Biomedicines
|June 28, 2023
概括
异常的胎盘,如环状胎盘和状胎盘类型,与剖腹产和早产的风险更高有关. 这些胎盘变异需要在怀孕管理中被视为高风险因素.
科学领域:
- 产科和妇科 产科和妇科
- 周围生理学 周围生理学
- 生殖医学 生殖医学
背景情况:
- 胎盘在怀孕中的作用至关重要,但异常的胎盘,影响2-4%的怀孕,已经研究过少的产科结果.
- 了解胎盘异常的患病率和影响对于改善母亲和胎儿健康至关重要.
研究的目的:
- 系统地审查和确定各种异常胎盘的产科结果和患病率.
- 综合现有的关于环状体,状体,多叶体和胎盘膜的文献.
主要方法:
- 1974年至2022年间发表的48项研究的系统审查.
- 对特定胎盘变异的累积患病率和相关产科结果的分析.
主要成果:
- 累计患病率:环状胎盘 (1.2%),状胎盘 (1.0%),多叶胎盘 (0.2%) 和胎盘膜 (0.004%).
- 周围的胎盘与出现的剖腹产,早产和胎盘断裂的增加有关.
- 继承性胎盘与更高的剖腹产率有关;早产和胎盘断裂的结果各不相同.
结论:
- 异常的胎盘,包括环状胎盘和状胎盘类型,与显著的不良产科结果有关.
- 胎盘膜病例显示出高堕胎率和胎盘增殖谱.
- 虽然证据有限,但异常的胎盘应该被认为是怀孕的高风险因素.
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