国际妇产科学杂志
國際婦產科學雜誌
국제부산과학잡지
JOURNAL OF INTERNATIONAL OBSTETRICS AND GYNECOLOGY
2014年
3期
280-281,333
,共3页
胎盘,侵入性%超声检查,多普勒,彩色%前置胎盘%产前诊断
胎盤,侵入性%超聲檢查,多普勒,綵色%前置胎盤%產前診斷
태반,침입성%초성검사,다보륵,채색%전치태반%산전진단
Placenta accreta%Ultrasonography,Doppler,color%Placenta previa%Prenatal diagnosis
目的：评价彩色多普勒超声诊断胎盘植入的价值。方法：回顾性分析2012年1月-2013年10月在天津市中心妇产科医院超声诊断胎盘低置状态或低置胎盘或前置胎盘的住院患者93例，其中超声检查疑似胎盘植入者24例。经腹部超声及阴道超声着重扫查胎盘的位置及其厚度、胎盘内回声、胎盘附着处子宫肌层厚度及其与子宫肌层的关系、与子宫相邻的膀胱壁情况、胎盘附着处血流情况。结果：24例经彩色多普勒超声检查疑似胎盘植入，经手术病理确诊为胎盘植入20例，其中粘连性胎盘4例，植入性胎盘14例，穿透性胎盘2例。超声误诊5例，漏诊1例。彩色多普勒超声检查的敏感度为95.00%，特异度为93.15%，阳性预测值为79.17%，阴性预测值为98.55%。结论：彩色多普勒超声为产前检查胎盘植入的较好方法。
目的：評價綵色多普勒超聲診斷胎盤植入的價值。方法：迴顧性分析2012年1月-2013年10月在天津市中心婦產科醫院超聲診斷胎盤低置狀態或低置胎盤或前置胎盤的住院患者93例，其中超聲檢查疑似胎盤植入者24例。經腹部超聲及陰道超聲著重掃查胎盤的位置及其厚度、胎盤內迴聲、胎盤附著處子宮肌層厚度及其與子宮肌層的關繫、與子宮相鄰的膀胱壁情況、胎盤附著處血流情況。結果：24例經綵色多普勒超聲檢查疑似胎盤植入，經手術病理確診為胎盤植入20例，其中粘連性胎盤4例，植入性胎盤14例，穿透性胎盤2例。超聲誤診5例，漏診1例。綵色多普勒超聲檢查的敏感度為95.00%，特異度為93.15%，暘性預測值為79.17%，陰性預測值為98.55%。結論：綵色多普勒超聲為產前檢查胎盤植入的較好方法。
목적：평개채색다보륵초성진단태반식입적개치。방법：회고성분석2012년1월-2013년10월재천진시중심부산과의원초성진단태반저치상태혹저치태반혹전치태반적주원환자93례，기중초성검사의사태반식입자24례。경복부초성급음도초성착중소사태반적위치급기후도、태반내회성、태반부착처자궁기층후도급기여자궁기층적관계、여자궁상린적방광벽정황、태반부착처혈류정황。결과：24례경채색다보륵초성검사의사태반식입，경수술병리학진위태반식입20례，기중점련성태반4례，식입성태반14례，천투성태반2례。초성오진5례，루진1례。채색다보륵초성검사적민감도위95.00%，특이도위93.15%，양성예측치위79.17%，음성예측치위98.55%。결론：채색다보륵초성위산전검사태반식입적교호방법。
Objective:To evaluate the value of color Doppler ultrasound in the diagnosis of placenta accreta. Methods:Retrospective analysis of 93 cases diagnosed as placenta low state ,low-lying placenta or placenta previa through ultrasound examination in our hospital between January 2012 to October 2013. 24 cases were diagnosed as placenta implantation among them. Abdominal and transvaginal ultrasonography focus in observing the thickness ,position and internal echo of the placenta , the thickness of uterine muscle in placental site ,the relationship between the placenta and uterine muscle ,and the adjacent urinary bladder wall blood flow in placental site were also included. Results:24 patients were suspected of placenta implantation by color Doppler ultrasonography,20 cases were confirmed of placenta implantation by pathology after operation,including 4 cases of placenta adherence,14 cases of placenta accreta,2 cases of placenta penetration.,5 cases of misdiagnosis, missed diagnosis in 1 cases. Sensitivity and specificity of color Doppler ultrasonography was 95.00% and 93.15% respectively. The positive predictive value and the negative predictive value of color Doppler ultrasonography was 79.17% and 98.55%respectively. Conclusions:The color Doppler ultrasound is a preferred method for prenatal diagnosis of placenta accreta.
