Treatment of previable premature ruptured membranes
Treatment of previable premature ruptured membranes
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DOI：
10.1016/s0095-5108(03)00050-2
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发表时间：
2003-09-01
影响因子：
2.1
通讯作者：
Quintero, RA
中科院分区：
文献类型：
--
作者：
Quintero, RA
医源性可预见性胎膜早破（PPROM）与自发性PPROM在病因学、临床表现和治疗反应方面均有不同。考虑到使用Spectopatch技术成功封膜的可能性，医源性PPROM不应再被视为妊娠的毁灭性并发症。自发性PPROM的成功治疗在一组选定的患者中是可能的，但实际的手术技术，所用材料和方法（经腹与经颅）需要进一步研究。
Iatrogenic previable premature rupture of membranes (PPROM) differs from spontaneous PPROM from an etiological point of view as well as in its clinical behavior and response to therapeutic measures. Iatrogenic PPROM should no longer be viewed as a devastating complication of pregnancy given the possibility of successful membrane sealing With the amniopatch technique. Successful treatment of spontaneous PPROM may be possible in a select group of patients, but the actual surgical technique, the materials to be used, and the approach (transabdominal versus transcervical) need further investigation.