国际生殖健康/计划生育 ›› 2018, Vol. 37 ›› Issue (2): 150-153.

• 综述 • 上一篇    下一篇

复发性流产血栓前状态病因学及治疗研究进展

陈灿明,任卫娟,王奕芳,魏桂兰,刘丽利   

  1. 225002  扬州大学医学院附属医院,扬州市妇幼保健院妇产科
  • 收稿日期:2018-01-26 修回日期:2018-03-07 出版日期:2018-03-15 发布日期:2018-03-15
  • 通讯作者: 任卫娟,E-mail:FYrenweijuan@163.com E-mail:FYrenweijuan@163.com
  • 基金资助:
    吴阶平医学基金(2011-427-2101)

Prethrombotic State of Recurrent Spontaneous Abortion and Its Treatment: A Mini Review

CHEN Can-ming,REN Wei-juan,WANG Yi-fang,WEI Gui-lan,LIU Li-li   

  1. Department of Obstetrics and Gynecology,Yangzhou Maternal and Child Care Hospital,Medical College,Yangzhou University,Yangzhou 225002,Jiangsu Province,China
  • Received:2018-01-26 Revised:2018-03-07 Published:2018-03-15 Online:2018-03-15
  • Contact: REN Wei-juan,E-mail:FYrenweijuan@163.com E-mail:FYrenweijuan@163.com

摘要: 复发性流产(RSA)的病因非常复杂,血栓前状态与RSA的关系成为近年来国内外的研究热点。越来越多的研究指明:凝血因子Ⅴ突变、凝血酶原基因多态性、亚甲基四氢叶酸还原酶(MTFHR)基因突变、蛋白C缺陷、蛋白S缺陷、纤维蛋白原基因变异、抗磷脂抗体(APL)阳性、血管紧张素转换酶基因插入和缺失、血浆纤溶酶原激活物抑制剂1(PAI-1)基因多态性均可能是RSA的病因。目前尚无足够证据表明有血栓前状态的RSA患者常规应用低分子肝素可以改善其妊娠结局,但国内外医学工作者们仍积极探索RSA血栓前状态的治疗方法,并总结辅助生殖技术中血栓前状态的治疗经验,提出治疗建议。

关键词: 流产, 习惯性, 血栓形成, 生物学标记, 血栓前状态

Abstract: The etiology of recurrent spontaneous abortion(RSA) is very complicated. The prethrombotic state related to RSA is hotspot research in recent years. More and more research indicated that the pathogenic factor of RSA could include the coagulation factor V mutation, prothrombin gene polymorphism, MTFHR gene mutation, protein C deficiency, protein S defect, fibrinogen gene mutation, anti-phospholipid syndrome antibody, angiotensin converting enzyme gene insertion and deletion, and PAI-1 gene polymorphism. There is no sufficient evidence that low-molecular-weight heparin can improve pregnancy outcome in RSA the patients with prethrombotic state. Medical researchers still actively explore the therapeutic regimen of RSA the prethrombotic state related to RSA, and put forward some useful treatment suggestions based on their experience in treatment of RSA and in assisted reproductive technology.

Key words: Abortion, habitual, Thrombosis, Biological markers, Prethrombotic state