摘要
目的评价产前超声诊断前置胎盘并胎盘植入的重要性。方法选取该院2013年8月—2015年12月收治的202例前置胎盘患者作为研究对象,所有患者均在产前行彩色多普勒超声诊断,回顾性分析患者的影像学特征,判断是否合并胎盘植入的发生,并以病理检查结果为依据,计算超声诊断的准确率。结果该研究收治的202例前置胎盘患者中,经彩色多普勒超声和手术病理诊断合并胎盘植入的患者各有24例和21例,检出率分别为11.4%和10.4%,比较差异无统计学意义(P>0.05),经超声检查,误漏诊3例,总的检出准确率为87.5%。其中,前置胎盘并胎盘植入在前壁胎盘时和在后壁胎盘时的诊断准确率分别为94.12%(16/17)和71.43%(5/7),前置胎盘并胎盘植入在后壁胎盘时的诊断准确率显著降低,比较差异有统计学意义(P<0.05)。前置胎盘并胎盘植入在后壁胎盘时,出现3例产后大出血情况,并发症发生率为42.86%,前置胎盘并胎盘植入在后壁胎盘时,无一例并发症发生。结论产前超声诊断操作简便、重复性好、经济性好、准确率高,是比较理想的前置胎盘并前壁胎盘植入诊断方法。
Objective Evaluate the importance of prenatal ultrasound diagnosis of placenta previa and placenta implantation. Methods Selected in our hospital in August 2013 to 2015 December 202 cases of placenta previa patients as the object of study, all patients were in production before the color Doppler ultrasound in the diagnosis of, review analysis the patient＇s imaging characteristics, determine whether complicated with placenta accreta occurred and the pathology result as the basis, to calculate the accuracy of ultrasound in the diagnosis of. Results The 202 patients with placenta previa, by color Doppler ultrasound and pathology diagnosis of complicated with placenta accreta patients have 24 cases and 21 cases,detection rate was 11.4% and 10.4% respectively, no significant difference（P〈0.05）, the ultrasound misdiagnosis in 3 cases, the total detection accuracy rate is 87.5%. Among them, placenta previa and placenta implantation in the anterior wall of the placenta and in the posterior wall of the placenta when diagnosis accurate rate is 94.12%（16 / 17） and 71.43%（5 / 7）,placenta previa and placenta implantation in wall placenta diagnostic accuracy is significantly reduced, compared with statistical difference（P〈0.05）. Placenta and placenta implantation in the posterior wall of the placenta, 3 cases of postpartum hemorrhage, the incidence rate of complications was 42.86%, placenta and placenta implantation in the posterior wall of the placenta, with no complications. Conclusion Prenatal ultrasound diagnosis of simple operation, good repeatability, good economic performance and high accuracy, is the ideal of placenta previa placenta implantation and anterior wall diagnosis method.
出处
《中国卫生产业》
2016年第4期46-48,共3页
China Health Industry
关键词
前置胎盘并胎盘植入
产前超声诊断
评价
Placenta and placenta implantation
Prenatal ultrasound diagnosis
Importance
