Department of Obstetrics and Gynaecology, University of Tübingen, Tübingen, Germany.
Ultraschall Med. 2020 Apr;41(2):120-137. doi: 10.1055/a-1079-0013. Epub 2020 Apr 7.
In the last decades, abnormal placentation and umbilical cord insertion have become an increasingly relevant and feared pathology in obstetrics with increased morbidity and mortality for mother and child. In addition to several increasingly common risk factors, such as assisted reproduction, the main reason for the increased occurrence is the greater frequency of Cesarean sections. Correct diagnosis, which is primarily determined sonographically, is essential for targeted perinatal management. In particular, the diagnostic criteria and current management recommendations are described in the following article.
在过去的几十年中,异常的胎盘和脐带插入已成为产科中越来越相关和令人担忧的病理学,导致母婴发病率和死亡率增加。除了一些越来越常见的风险因素,如辅助生殖外,发生率增加的主要原因是剖宫产的频率增加。正确的诊断,主要通过超声确定,对于有针对性的围产期管理至关重要。特别是,在以下文章中描述了诊断标准和当前的管理建议。