中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
23期
6-8
,共3页
胎盘植入%产前诊断
胎盤植入%產前診斷
태반식입%산전진단
Placenta accreta%Prenatal diagnosis
目的：探讨彩色多普勒超声和核磁共振(MRI)成像对胎盘植入的产前诊断价值。方法：选取2011-2013年于笔者所在医院同时进行产前彩色多普勒超声与磁共振成像检查35例疑诊胎盘植入患者，产后经病理检查确诊，比较两种方法对胎盘植入诊断的可靠性和差异性；总结彩色多普勒超声和磁共振成像的胎盘植入图像特点。结果：35例疑似患者中经病理检查确诊胎盘植入患者12例；彩超检查提示阳性12例，阴性23例，误诊1例，漏诊1例；MRI检查提示胎盘植入阳性11例，阴性24例，误诊1例，漏诊2例。统计分析发现彩超和MRI的Kappa值分别为0.87和0.75(均>0.4)；两种方法进行比较，敏感性、特异性、精确比、诊断指数等方面比较差异无统计学意义(P>0.05)。结论：彩超和MRI作为目前临床产前诊断胎盘植入的主要手段，其诊断价值值得肯定，但彩超与磁共振对胎盘植入的诊断不可相互替代，应该结合各自的特征及发现的阳性病例特点进行综合作出诊断。
目的：探討綵色多普勒超聲和覈磁共振(MRI)成像對胎盤植入的產前診斷價值。方法：選取2011-2013年于筆者所在醫院同時進行產前綵色多普勒超聲與磁共振成像檢查35例疑診胎盤植入患者，產後經病理檢查確診，比較兩種方法對胎盤植入診斷的可靠性和差異性；總結綵色多普勒超聲和磁共振成像的胎盤植入圖像特點。結果：35例疑似患者中經病理檢查確診胎盤植入患者12例；綵超檢查提示暘性12例，陰性23例，誤診1例，漏診1例；MRI檢查提示胎盤植入暘性11例，陰性24例，誤診1例，漏診2例。統計分析髮現綵超和MRI的Kappa值分彆為0.87和0.75(均>0.4)；兩種方法進行比較，敏感性、特異性、精確比、診斷指數等方麵比較差異無統計學意義(P>0.05)。結論：綵超和MRI作為目前臨床產前診斷胎盤植入的主要手段，其診斷價值值得肯定，但綵超與磁共振對胎盤植入的診斷不可相互替代，應該結閤各自的特徵及髮現的暘性病例特點進行綜閤作齣診斷。
목적：탐토채색다보륵초성화핵자공진(MRI)성상대태반식입적산전진단개치。방법：선취2011-2013년우필자소재의원동시진행산전채색다보륵초성여자공진성상검사35례의진태반식입환자，산후경병리검사학진，비교량충방법대태반식입진단적가고성화차이성；총결채색다보륵초성화자공진성상적태반식입도상특점。결과：35례의사환자중경병리검사학진태반식입환자12례；채초검사제시양성12례，음성23례，오진1례，루진1례；MRI검사제시태반식입양성11례，음성24례，오진1례，루진2례。통계분석발현채초화MRI적Kappa치분별위0.87화0.75(균>0.4)；량충방법진행비교，민감성、특이성、정학비、진단지수등방면비교차이무통계학의의(P>0.05)。결론：채초화MRI작위목전림상산전진단태반식입적주요수단，기진단개치치득긍정，단채초여자공진대태반식입적진단불가상호체대，응해결합각자적특정급발현적양성병례특점진행종합작출진단。
Objective:To evaluate the diagnostic value of color Doppler prenatal ultrasound and magnetic resonance(MRI) imaging of placenta accreta. Method:Selecting 2011-2013 in the hospital at the same time for prenatal color Doppler ultrasound and magnetic resonance imaging were performed in 35 patients suspected of placenta accreta postpartum patients,diagnosed by pathological examination,reliability and to compare the difference between two methods for the diagnosis of placenta accreta;summary of placenta implantation image characteristics of color doppler ultrasound and magnetic resonance imaging.Result:35 cases of suspected patients with pathologically confirmed placenta implanted 12 patients;ultrasound examinations showed positive in 12 and negative in 23 cases, misdiagnosis 1 case,missed 1 case;MRI examination revealed 11 cases of placenta accreta positive ,negative 24 cases,misdiagnosis 1 case,missed 2 cases. Statistical analysis showed that ultrasound and MRI Kappa values were 0.87 and 0.75 (all>0.4 );compare the two methods,both in the sensitivity,specificity, precision than diagnosing index difference was not statistically significant(P>0.05).Conclusion:Ultrasound and MRI as the main means of clinical prenatal diagnosis of placenta accreta ,its diagnostic value worthy of recognition ,but ultrasound and MRI diagnosis of placenta accreta can not replace each other,should combine their features and characteristics of positive cases found comprehensive diagnosis.
