肌切除术后的胎盘积聚光谱:通过外科手术方法分层的系统审查和元分析
Ehsan Rojhani1, May Abiad2, Nikan Zargarzadeh1
1Fetal Care and Surgery Center (FCSC), Division of Fetal Medicine and Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
American journal of obstetrics and gynecology
|February 7, 2026
概括
肌切除术后胎盘缩谱 (PAS) 的患病率约为1-2%,基于手术方法没有显著差异. 这表明,针对肌肉切除术的个性化手术选择是适当的.
科学领域:
- 产科和妇科 产科和妇科
- 手术瘤学手术瘤学
- 生殖医学 生殖医学
背景情况:
- 胎盘增长频谱 (PAS) 影响大约0.17%的怀孕.
- 肌切除术是子宫纤维瘤的一个常见的手术程序.
研究的目的:
- 为了估计肌肉切除术后PAS的患病率.
- 为了比较不同肌肉切除手术方法的PAS风险.
主要方法:
- 76项研究 (11,065例怀孕) 的系统综述和元分析.
- 在PubMed,Embase,Scopus和科学网上进行了搜索.
- 对外科手术方法和PAS相关的发病情况进行了子组分析.
主要成果:
- 肌切除术后PAS的综合流行率为1% (95% CI,1-2%).
- 在开放性肌肉切除术 (2%) 后,PAS患病率最高,但在各个方法 (腹腔镜,机器人,透镜) 中没有统计学意义.
- 产后出血,胎盘前置和子宫破裂在手术方法中表现出类似的患病率.
结论:
- 肌肉切除术后的PAS患病率约为1-2%,并没有受到外科手术方法的显著影响.
- 主要产科并发症在开放式,腹腔镜,镜和机器人肌切除术之间没有显著差异.
- 肌肉切除术的手术方法可以根据患者和临床因素进行个性化.
更多相关视频
09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
Published on: March 21, 2018
20.4K
04:47Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
Published on: June 23, 2023
3.6K
相关概念视频
Chemical Equilibria: Systematic Approach to Equilibrium Calculations
1.6K
Equilibrium calculations for systems involving multiple equilibria are often complex. For example, to calculate the solubility of a sparingly soluble salt in an aqueous solution in the presence of a common ion, one must consider all the equilibria in this solution. Calculations for these systems can be complicated and tedious, so a systematic approach with a series of steps is often helpful. The process is detailed below.
The first step is to identify all the chemical reactions involved, The...
The first step is to identify all the chemical reactions involved, The...
1.6K
The Electromagnetic Spectrum
65.4K
The electromagnetic spectrum consists of all the types of electromagnetic radiation arranged according to their frequency and wavelength. Each of the various colors of visible light has specific frequencies and wavelengths associated with them, and you can see that visible light makes up only a small portion of the electromagnetic spectrum. Because the technologies developed to work in various parts of the electromagnetic spectrum are different, for reasons of convenience and historical...
65.4K
Stratified Sampling Method
15.5K
Sampling is a technique to select a portion (or subset) of the larger population and study that portion (the sample) to gain information about the population. The sampling method ensures that samples are drawn without bias and accurately represent the population. Because measuring the entire population in a study is not practical, researchers use samples to represent the population of interest.
To choose a stratified sample, divide the population into groups called strata and then take a...
To choose a stratified sample, divide the population into groups called strata and then take a...
15.5K
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.5K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.5K
IR Spectrum
2.2K
When infrared (IR) radiation passes through a molecule, the bonds stretch or bend by absorbing the radiation. This absorption creates the molecule's absorption spectrum, which is the plot of its percentage transmittance versus wavenumber.
Transmittance is defined as the ratio of the radiant power passing through a sample to that from the radiation's source. Multiplying the transmittance by 100 gives the percent transmittance (%T), which varies between 100% (no absorption) and 0%...
Transmittance is defined as the ratio of the radiant power passing through a sample to that from the radiation's source. Multiplying the transmittance by 100 gives the percent transmittance (%T), which varies between 100% (no absorption) and 0%...
2.2K
