[1]付晓娟,刘明盛,吴晓兰.彩色多普勒超声对凶险性前置胎盘合并植入的诊断价值研究*[J].陕西医学杂志,2018,(11):1417-1419.
　Fu Xiaojuan,Liu Mingsheng,Wu Xiaolan..The diagnosis and clinical value of color doppler ultrasound in prenatal diagnosis of dangerous placenta previa combined with implantation[J].,2018,(11):1417-1419.
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彩色多普勒超声对凶险性前置胎盘合并植入的诊断价值研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2018年11期
页码:
1417-1419
栏目:
临床研究
出版日期:
2018-11-29

文章信息/Info

Title:
The diagnosis and clinical value of color doppler ultrasound in prenatal diagnosis of dangerous placenta previa combined with implantation
文章编号:
0.3969/j.issn.1000-7377.2018.11.015
作者:
付晓娟; 刘明盛; 吴晓兰
成都市第五人民医院超声医学科（〖WTBZ〗成都611130）
Author(s):
Fu Xiaojuan; Liu Mingsheng; Wu Xiaolan.
Chengdu No. 5 People’s Hospital Ultrasonic Medicine（Chengdu 〖HTF〗611130）
关键词:
前置胎盘/诊断侵入性胎盘/诊断超声检查;  多普勒;  彩色/方法
Keywords:
Placenta previa/diagnosisPlacenta accreta/diagnosisUltrasonography;  doppler;  color/methods
分类号:
R445.1
文献标志码:
A
摘要:
目的：探讨彩色多普勒超声在产前诊断凶险性前置胎盘合并植入孕妇中的诊断准确性及临床应用价值。方法：选择44例凶险性前置胎盘合并胎盘植入的孕妇作为观察组,凶险性前置胎盘未合并胎盘植入孕产妇46例作为对照组，对两组孕妇进行彩色多普勒超声检查及病理检测，分析产前超声检查结果的准确率，两组孕产妇产前超声特点及临床特征。结果：①手术后证实观察组孕产妇有42例确诊为胎盘植入，准确率为95.45%（42/44）；对照组未合并胎盘植入44例，准确率为95.65%（44/46）；②观察组孕产妇子宫肌层＜2.0 mm、胎盘后间隙消失、胎盘增厚、宫颈膨大发生率与对照组比较均升高，差异有统计学意义（P＜0.05）；③观察组孕产妇年龄≥35岁、剖宫产次数≥2次与对照组比较比例均增多，差异有统计学意义（P＜0.05）。结论：产前彩色多普勒超声用于诊断凶险性前置胎盘合并胎盘植入，具有准确性高，无创、费用较低的特点；高龄产妇或多次进行剖宫产手术可能是凶险性前置胎盘合并胎盘植入发生的危险因素。
Abstract:
Objective: To investigate the diagnostic accuracy and clinical value of color doppler ultrasonography in prenatal diagnosis of dangerous placenta previa combined with implantation of pregnant women. Methods: 44 pregnant women with placenta previa and placenta previa detected were chosen as the observation group. They were taken for color doppler ultrasonography and pathological examination, and the accuracy of prenatal ultrasound results was analyzed.46 cases of non-placenta previa placenta accreta combined with risk placenta previa were selected as the control group, and the characteristics of prenatal ultrasound and clinical features of the two groups were analyzed. Results:①After operation, 42 pregnant women in the observation group were diagnosed as placenta accrete, and the accuracy rate was 95.45% (42/44). The control group without placenta accreta was with 44 cases, and the accuracy rate was 95.65% (44/46). ②The myometrial myometrium less than 2.0 mm, the gap disappeared after the placenta, the placental thickening and the incidence of cervical enlargement in the observation group were all higher than those in the control ,and the data was with statistical significance (P＜0.05). ③Maternal age ≥35 years old, cesarean section ≥ 2 times in the observation group compared with the control group were increased, and the differences of the value were with statistical significance (P＜0.05). Conclusion: Prenatal color Doppler ultrasound applied in the diagnosis of the risky placenta previa and placenta accreta asymptomatic maternal, which has the characteristics of high accuracy, noninvasiveness and low cost, which is helpful for the early diagnosis and supply of maternal to the physician on the prevention and treatment of symptoms reference to reduce the risk of mother and child, on the other hand, elderly mothers or multiple cesarean section surgery may be risk factors of placenta previa placenta accrete.

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备注/Memo

备注/Memo:
*四川省卫生和计划生育委员会课题（ 17PJ247 ）
更新日期/Last Update: 2018-11-30