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磁共振成像诊断胎盘植入的意义及病理相关性

Significance of Diagnostic Findings of Placenta Percreta by Magnetic Resonance Imaging and Pathological Correlation.

作者信息

Jara-García Francisco I, Regalado-Morales Oscar A, González-Recio Ángeles E, Negreros-Osuna Adrián A

机构信息

Radiology Department, Hospital Regional Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Monterrey, Universidad de Monterrey, Monterrey, MEX.

出版信息

Cureus. 2024 Dec 13;16(12):e75685. doi: 10.7759/cureus.75685. eCollection 2024 Dec.

DOI:10.7759/cureus.75685
PMID:39807449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11725766/
Abstract

Placenta percreta is a rare form of disorder found in the spectrum of placenta accreta and represents a considerable cause of maternal complications with an increase in mortality. The radiologist's role is essential due to the support of images acquired by magnetic resonance imaging, given their high sensitivity and specificity to predict the degree of placental invasion in substitution or accompaniment of the ultrasound study between 28 and 32 weeks of gestation. We present the case of a 29-year-old patient who was in her third pregnancy with a history of two cesarean sections at the ISSSTE Regional Hospital in Monterrey, Nuevo León.

摘要

穿透性胎盘植入是胎盘植入谱系中一种罕见的病症形式，是导致孕产妇并发症及死亡率上升的重要原因。鉴于磁共振成像获取的图像具有较高的敏感性和特异性，能够在孕28至32周替代或辅助超声检查来预测胎盘植入程度，放射科医生的作用至关重要。我们报告一例29岁患者的病例，该患者第三次怀孕，在新莱昂州蒙特雷市的ISSSTE地区医院有两次剖宫产史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/afc75ba3fa81/cureus-0016-00000075685-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/155f903f2f27/cureus-0016-00000075685-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/da3ed532251d/cureus-0016-00000075685-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/b498090a8a97/cureus-0016-00000075685-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/4967ff04601e/cureus-0016-00000075685-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/6ac8953d1b49/cureus-0016-00000075685-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/afc75ba3fa81/cureus-0016-00000075685-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/155f903f2f27/cureus-0016-00000075685-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/da3ed532251d/cureus-0016-00000075685-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/b498090a8a97/cureus-0016-00000075685-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/4967ff04601e/cureus-0016-00000075685-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/6ac8953d1b49/cureus-0016-00000075685-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ee/11725766/afc75ba3fa81/cureus-0016-00000075685-i06.jpg

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本文引用的文献

1
Placenta Accreta Spectrum Disorders: Update and Pictorial Review of the SAR-ESUR Joint Consensus Statement for MRI.胎盘植入谱系疾病：SAR-ESUR 联合共识声明 MRI 影像学更新与解读。
Radiographics. 2023 May;43(5):e220090. doi: 10.1148/rg.220090.
2
Bladder involvement in placenta accreta spectrum disorder with placenta previa: MRI findings and outcomes correlation.胎盘植入谱系疾病伴前置胎盘的膀胱受累：MRI 表现与结局相关性。
Eur J Radiol. 2023 Mar;160:110695. doi: 10.1016/j.ejrad.2023.110695. Epub 2023 Jan 13.
3
Society of Abdominal Radiology (SAR) and European Society of Urogenital Radiology (ESUR) joint consensus statement for MR imaging of placenta accreta spectrum disorders.
Society of Abdominal Radiology (SAR) 和 European Society of Urogenital Radiology (ESUR) 联合发布的胎盘植入谱系疾病磁共振成像共识声明。
Eur Radiol. 2020 May;30(5):2604-2615. doi: 10.1007/s00330-019-06617-7. Epub 2020 Feb 10.
4
Placenta Accreta Spectrum: A Review of Pathology, Molecular Biology, and Biomarkers.胎盘植入谱系疾病：病理学、分子生物学和生物标志物的综述。
Dis Markers. 2018 Jul 3;2018:1507674. doi: 10.1155/2018/1507674. eCollection 2018.
5
MRI of Placenta Accreta, Placenta Increta, and Placenta Percreta: Pearls and Pitfalls.胎盘植入、穿透性胎盘植入和粘连性胎盘植入的磁共振成像：要点与陷阱
AJR Am J Roentgenol. 2017 Jan;208(1):214-221. doi: 10.2214/AJR.16.16281. Epub 2016 Oct 20.
6
Placenta Percreta With Invasion into the Urinary Bladder.胎盘植入伴侵犯膀胱
Urol Case Rep. 2014 Jan 24;2(1):31-2. doi: 10.1016/j.eucr.2013.11.010. eCollection 2014 Jan.