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Clinical value of serum VEGF and sFlt-1 in pernicious placenta previa.

Abstract
This study was designed to explore the expression and the diagnostic value of vascular endothelial growth factor (VEGF) and soluble fms-like tyrosine kinase-1 (sFlt-1) in pernicious placenta previa (PPP) combined placental accreta/increta. A total of 140 PPP patients were enrolled and divided into two groups: 56 patients with placenta accreta/increta (PA group), and 84 patients without placenta accreta/increta (non-PA group). In the same period, 46 pregnant women without PPP who had undergone caesarean section were selected as controls. The levels of VEGF and sFlt-1 in serum were detected by enzyme-linked immunosorbent assay. Diagnostic efficiency of VEGF and sFlt-1 in serum were evaluated by receiver operating characteristics curve. It was found that both VEGF and sFlt-1 had diagnostic value for PPP and placenta accreta/increta combined PPP. In addition, the levels of VEGF and sFlt-1 could be used to distinguish placenta accreta from placenta increta. VEGF was negatively correlated with sFlt-1 in PPP patients. In summary, the levels of VEGF and sFlt-1 could be used as auxiliary indicators to diagnose PPP and distinguish between placenta accreta and increta.KEY POINTSThe levels of VEGF and sFlt-1 could be used to distinguish placenta accreta from placenta increta.VEGF is negatively correlated with sFlt-1 in PPP patients.The levels of VEGF and sFlt-1 could be used as auxiliary indicators to diagnose PPP and distinguish between placenta accreta and increta.
AuthorsNa Wang, Dandan Shi, Na Li, Hongyuan Qi
JournalAnnals of medicine (Ann Med) Vol. 53 Issue 1 Pg. 2041-2049 (12 2021) ISSN: 1365-2060 [Electronic] England
PMID34927512 (Publication Type: Journal Article)
Chemical References
  • VEGFA protein, human
  • Vascular Endothelial Growth Factor A
  • FLT1 protein, human
  • Vascular Endothelial Growth Factor Receptor-1
Topics
  • Cesarean Section
  • Female
  • Humans
  • Placenta (pathology)
  • Placenta Accreta (blood, diagnosis)
  • Placenta Previa (blood, diagnosis)
  • Pregnancy
  • Vascular Endothelial Growth Factor A (blood)
  • Vascular Endothelial Growth Factor Receptor-1 (blood)

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