CAJ | 학술논문

目的探讨产前超声诊断血管前置的临床意义。方法选取2010年1月～2012年12月来我院行彩色多普勒超声产前检查的孕妇6348例，检测胎盘及相关区域内的血流信号，判断是否存在前置血管，并将检查结果与临床手术确诊结果进行对照分析。结果6348例孕妇最终临床手术确诊血管前置22例，血管前置的发生率为0.35%，产前超声检出血管前置19例，漏诊3例，产前超声检查结果符合率86.36%，漏诊率13.64%，彩色多普勒超声下前置血管分型：帆状附着型9例（47.37%），副胎盘型4例（21.05%），双叶胎盘型3例（15.79%），脐带胎盘边缘附着型3例（15.79%），19例彩色多普勒超声诊断前置血管患者经阴道分娩3例（15.79%），剖宫产16例（84.21%）；活婴18例（94.74%），胎儿死亡1例（5.26%）；全部母亲及18例婴儿均康复出院。结论产前超声检查诊断血管前置具有较高的诊断符合率，可作为产前检查血管前置的首选方法。
목적탐토산전초성진단혈관전치적림상의의。방법선취2010년1월～2012년12월래아원행채색다보륵초성산전검사적잉부6348례，검측태반급상관구역내적혈류신호，판단시부존재전치혈관，병장검사결과여림상수술학진결과진행대조분석。결과6348례잉부최종림상수술학진혈관전치22례，혈관전치적발생솔위0.35%，산전초성검출혈관전치19례，루진3례，산전초성검사결과부합솔86.36%，루진솔13.64%，채색다보륵초성하전치혈관분형：범상부착형9례（47.37%），부태반형4례（21.05%），쌍협태반형3례（15.79%），제대태반변연부착형3례（15.79%），19례채색다보륵초성진단전치혈관환자경음도분면3례（15.79%），부궁산16례（84.21%）；활영18례（94.74%），태인사망1례（5.26%）；전부모친급18례영인균강복출원。결론산전초성검사진단혈관전치구유교고적진단부합솔，가작위산전검사혈관전치적수선방법。
Objective To discuss the clinical value of prenatal ultrasonic diagnosis of vasa praevia. Methods The blood flow signal of placenta and other related region in 6348 pregnant women underwent prenatal color doppler ultrasonography in our hospital from January 2010 to December 2012 were examined,by which the vasa praevia were detected.The results of ultrasonic examination and clinical operations-confirmed diagnosis were compared and analyzed. Results In 6348 pregnant women,there were 22 cases(0.35%) with vasa praevia by clinical operations-confirmed diagnosis,19 cases(86.36%)with vasa praevia by prenatal ultrasonic diagnosis,3 cases(13.64%) missed diagnosis.The types of vasa praevia by color doppler ultrasonography were velamentous insertion type,including 9 cases(47.37%);accessory placenta type,including 4 cases(21.05%);bilobed placenta type,including 3 cases(15.79%),placental attachment of umbilical cord type,including 3 cases(15.79%).In 19 cases with vasa praevia by color doppler ultrasonography diagnosis,3 infants(15.79%)were born by vaginal delivery,16 infants(84.21%)were born by cesarean section;there were 18 living infants(94.74%),1 case(5.26%)of fetal death.All pregnant women and 18 infants were discharged from hospital upon recovery. Conclusion Prenatal ultrasonic diagnosis of vasa praevia has higher coincidental rate of the diagnosis,and can be a first choice examination method of prenatal vasa praevia.