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胎膜早破预测与诊断的当前及新出现策略:一项叙述性综述

Current and Emerging Strategies for Prediction and Diagnosis of Prelabour Rupture of the Membranes: A Narrative Review.

作者信息

Ghafoor Saadia

机构信息

Kakshal Hospital, Kakshal, Peshawar, Khyber Pakhtunkhwa, Pakistan.

出版信息

Malays J Med Sci. 2021 Jun;28(3):5-17. doi: 10.21315/mjms2021.28.3.2. Epub 2021 Jun 30.

Abstract

Prelabour rupture of membranes (PROM) refers to the disruption of foetal membranes before the onset of labour, resulting in the leakage of amniotic fluid. PROM complicates 3% and 8% of preterm and term pregnancies, respectively. Accurate and timely diagnosis is crucial for effective management to prevent adverse maternal- and foetal-outcomes. The diagnosis of equivocal PROM cases with traditional methods often becomes challenging in current obstetrics practice; therefore, various novel biochemical markers have emerged as promising diagnostic tools. This narrative review is sought to review the published data to understand the current and emerging trends in diagnostic modalities in term and preterm pregnancies complicated with PROM and the potential role of various markers for predicting preterm PROM (pPROM) and chorioamnionitis in women with pPROM.

摘要

胎膜早破(PROM)是指在临产前胎膜破裂,导致羊水渗漏。胎膜早破分别使3%的早产和8%的足月妊娠复杂化。准确及时的诊断对于有效管理以预防不良母婴结局至关重要。在当前的产科实践中,用传统方法诊断不明确的胎膜早破病例往往具有挑战性;因此,各种新型生化标志物已成为有前景的诊断工具。本叙述性综述旨在回顾已发表的数据,以了解足月和早产合并胎膜早破的诊断方式的当前和新趋势,以及各种标志物在预测早产胎膜早破(pPROM)和pPROM女性绒毛膜羊膜炎中的潜在作用。

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本文引用的文献

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Prelabor Rupture of Membranes: ACOG Practice Bulletin, Number 217.胎膜早破:ACOG 实践公告第 217 号。
Obstet Gynecol. 2020 Mar;135(3):e80-e97. doi: 10.1097/AOG.0000000000003700.

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