黑龙江医学
黑龍江醫學
흑룡강의학
HEILONGJIANG MEDICAL JOURNAL
2014年
7期
802-803
,共2页
欧阳一兵%郭晓燕%温穗文%余桂云
歐暘一兵%郭曉燕%溫穗文%餘桂雲
구양일병%곽효연%온수문%여계운
胎盘植入%产前超声%诊断
胎盤植入%產前超聲%診斷
태반식입%산전초성%진단
Placenta implantation%Prenatal ultrasound%Diagnosis
目的：探讨产前超声诊断在胎盘植入的临床应用价值。方法回顾性分析34例经由临床及病理学证实为胎盘植入的孕妇相关资料，分析其多普勒超声检查的声像学特征，及胎盘植入与产后出血及胎盘的关系。结果经由产前超声诊断提示共11例确诊，占比32.4％，出现漏诊23例，占比67.6％；经产前超声诊断提示胎盘植入的11例患者的影像学特征主要有：胎盘后间隙部分或者全部消失，胎盘有内漩涡流形成，胎盘附着处的子宫肌层菲薄及胎盘异常性增厚等，产后大出血与非产后大出血的胎盘植入发生率为（56.3％vs11.1％），胎盘前置与非胎盘前置的胎盘植入发生率为（71.4％vs 5.0％），前壁胎盘与非前壁胎盘的发生率为（53.3％vs15.8％），P＜0.05。结论经超声检查对胎盘植入进行产前的诊断，对预防产后出血、保障母婴平安有着重要的价值。
目的：探討產前超聲診斷在胎盤植入的臨床應用價值。方法迴顧性分析34例經由臨床及病理學證實為胎盤植入的孕婦相關資料，分析其多普勒超聲檢查的聲像學特徵，及胎盤植入與產後齣血及胎盤的關繫。結果經由產前超聲診斷提示共11例確診，佔比32.4％，齣現漏診23例，佔比67.6％；經產前超聲診斷提示胎盤植入的11例患者的影像學特徵主要有：胎盤後間隙部分或者全部消失，胎盤有內漩渦流形成，胎盤附著處的子宮肌層菲薄及胎盤異常性增厚等，產後大齣血與非產後大齣血的胎盤植入髮生率為（56.3％vs11.1％），胎盤前置與非胎盤前置的胎盤植入髮生率為（71.4％vs 5.0％），前壁胎盤與非前壁胎盤的髮生率為（53.3％vs15.8％），P＜0.05。結論經超聲檢查對胎盤植入進行產前的診斷，對預防產後齣血、保障母嬰平安有著重要的價值。
목적：탐토산전초성진단재태반식입적림상응용개치。방법회고성분석34례경유림상급병이학증실위태반식입적잉부상관자료，분석기다보륵초성검사적성상학특정，급태반식입여산후출혈급태반적관계。결과경유산전초성진단제시공11례학진，점비32.4％，출현루진23례，점비67.6％；경산전초성진단제시태반식입적11례환자적영상학특정주요유：태반후간극부분혹자전부소실，태반유내선와류형성，태반부착처적자궁기층비박급태반이상성증후등，산후대출혈여비산후대출혈적태반식입발생솔위（56.3％vs11.1％），태반전치여비태반전치적태반식입발생솔위（71.4％vs 5.0％），전벽태반여비전벽태반적발생솔위（53.3％vs15.8％），P＜0.05。결론경초성검사대태반식입진행산전적진단，대예방산후출혈、보장모영평안유착중요적개치。
Objective To explore the clinical value of prenatal ultrasound diagnosis of placenta implantation .Methods Doing retrospective analysis of 34 cases with placenta implantation confirmed by clinical and pathological pregnant relevant information, analyzing features of Doppler ultrasonographic and relationship of postpartum hemorrhage with placenta implantation placenta .Results Among 34 cases, 11 cases were diagnosed as placenta implantation by prenatal ultrasound , accounting for 32.4%.23 cases were missed , accounting for 66.7%.The main imaging characteristics were as follows:some or all of clearance of behind placenta disappeared , there was vortex flow in the placenta formation ,and there was myometrium meager attachment of the placenta and placental abnormalities thickening in the 11 pla-centa implantation of 34 cases patients diagnosed by prenatal ultrasound.Incidence of placenta accreta in postpartum hemorrhage patients and non-postpartum hemorrhage patients was 56.3%vs11.1%,incidence of placenta accreta in placenta previa patients and non -Pla-centa previa patients was 71.4%vs 5.0%, and incidence of placenta accreta in anterior placenta and non -anterior placenta was 53.3%vs15.8%,P<0.05.Conclusion Prenatal ultrasound diagnosis of placenta implantation could prevention of postpartum hemorrhage ,and it has an important value to keep mothers′and babies′safety.
