CAJ | 학술논문

目的：探讨彩色多普勒超声对胎盘植入的临床应用价值。方法对我院产科临床验证的117例胎盘植入的超声检查资料进行回顾总结，分析其彩色多普勒声像图特征。结果临床验证的117例胎盘植入患者中产前彩色多谱勒超声声像图有特异改变提示为胎盘植入可能者101例，诊断符合率为86.3﹪；产前彩色多谱勒超声未发现特异声像而未能诊断者16例，占13.7﹪。结论胎盘植入的超声图像显示胎盘植入处胎盘后方与子宫肌层之间低回声带变薄或消失，彩色多普勒显示胎盘后方子宫肌层内弓状动脉血流中断、消失或不规则状血管团块，具有一定的特异性，且超声检查具有安全、低廉、操作简便，可重复等特点，是目前诊断该疾病的首选方法，具有较高的临床意义。
목적：탐토채색다보륵초성대태반식입적림상응용개치。방법대아원산과림상험증적117례태반식입적초성검사자료진행회고총결，분석기채색다보륵성상도특정。결과림상험증적117례태반식입환자중산전채색다보륵초성성상도유특이개변제시위태반식입가능자101례，진단부합솔위86.3﹪；산전채색다보륵초성미발현특이성상이미능진단자16례，점13.7﹪。결론태반식입적초성도상현시태반식입처태반후방여자궁기층지간저회성대변박혹소실，채색다보륵현시태반후방자궁기층내궁상동맥혈류중단、소실혹불규칙상혈관단괴，구유일정적특이성，차초성검사구유안전、저렴、조작간편，가중복등특점，시목전진단해질병적수선방법，구유교고적림상의의。
Objective to discuss clinic application usefulness of Color Doppler Ultrasound to placenta embedding. Methods to review and summarize the 117 cases that were diagnosed the placenta embedding in my hospital of obstetric clinic were diagnosed by the color doppler and anlyse image characteristics of Color Doppler ultrasonogram. Results 110 patients ,among the 117 patients of placenta embedding,has Specificity change in the antepartum Color Doppler ultrasonogram, diagnose accordance rate is enghty six point three percent;The number of people who have been failed to diagnose is sixteen percent in antepartum ultrasound, it account thirteen point seven percent.The imagings of placenta embedding display the hypoecho which lies in between the placenta embedding's rear and the myometrium that it become thin or disappear.Color doppler shows blood flow interruption 、disappear or tortuous of irregular vessels of arciform artery which in the myometrium that is located placenta embedding's rear. Conclusion It is that the Ultrasonography has some of specificity.It is the first method which could be made to diagnose the disease at once.