- Placenta praevia и Placenta accreta: современные методы диагностики и родоразрешения
Placenta praevia и Placenta accreta: современные методы диагностики и родоразрешения
HEALTH OF WOMAN. 2019.3(139): 8–14; doi 10.15574/HW.2019.139.8
Голяновский А. В. , Иванкова И. М. , Слободян Ю. В.
Национальная медицинская академия последипломного образования имени П.Л. Шупика, г. Киев
В статье представлены данные последних рандомизированных исследований и опубликованных в 2018 году двух руководств Королевского колледжа акушеров-гинекологов Великобритании по эпидемиологии, факторам риска, современным методам диагностики, алгоритмам родоразрешения и инновационным хирургическим методам лечения при предлежании и приращении плаценты (pl. рraevia/accreta). С точки зрения доказательной медицины освещена актуальность проблемы в аспекте антенатальной диагностики патологии плацентации для прогнозирования и профилактики жизнеугрожающих геморрагических осложнений. Приведены данные, свидетельствующие о необходимости мультидисциплинарного подхода к родоразрешению беременных в случае установления диагноза placenta percreta с проведением донного кесарева сечения и гистерэктомии без попытки отделения плаценты.
Предоставленные последние данные будут полезны для практикующих акушеров-гинекологов с целью оптимального ведения и родоразрешения беременных с этой тяжелой акушерской патологией.
Ключевые слова: предлежание плаценты, аномально инвазивная плацента, приращение плаценты, placenta accretа, placenta praevia, placenta increta/ percreta.
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