血管前检查,诊断,管理和结果:单中心研究
T Lueck1,2, A Macharia1, A Modest1,2
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
概括
定期的产前查可显著提高围产期存活率. 实施VP查计划可以帮助减少死产,尽管不建议在37周后分娩.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 诊断性的超声波检查
背景情况:
- 血管前膜 (VP) 是一种罕见但严重的产科疾病,胎儿血管在宫内骨附近运行.
- 未诊断的VP与由于出血而导致的高胎儿死亡率有关.
- 常规查VP可以帮助早期诊断和管理.
研究的目的:
- 描述诊断,管理和产前诊断的腹膜前置 (VP) 的结果.
- 评估在一个机构的常规VP查的有效性.
- 评估与分娩时的妊娠年龄相关的围产生存率和新生儿结局.
主要方法:
- 从2010年1月到2024年10月,对患有产前诊断VP的患者进行了回顾性队列研究.
- 常规查包括使用彩色多普勒的跨腹部和跨阴道超声波.
- 主要结局是围产期生存;次要结局包括基于分娩时间的新生儿结局.
主要成果:
- 确诊了205例产前诊断的VP (189例单子,16例双胞胎妊娠).
- 174名患者在分娩时有未解决的VP;所有人都在产前被诊断出来,没有假阳性/假阴性.
- 实现了近乎普遍的围产期存活率;分娩≥36周改善了新生儿的结局.
结论:
- 常规产前查VP与几乎普遍的围产生存率有关.
- 强烈支持实施VP查计划,以减少死产率.
- 在VP病例中,不建议在妊娠37周后分娩.
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