CAJ | 학술논문

目的：应用二维及彩色多普勒超声诊断胎盘植入并总结分析胎盘植入的声像图特点，为临床诊断及分娩方式的选择提供重要的参考信息。方法对49例胎盘植入患者结合临床、病理诊断进行分析，总结胎盘植入的超声声像图特征。结果临床确诊49例的胎盘植入，超声诊断34例，诊断正确率为69.38％。产前超声诊断29例，产后超声诊断5例，超声漏诊15例。结论二维结合彩色多普勒超声对诊断胎盘植入有一定的特异性，为产前、产时、产后的处理及分娩方式的选择提供重要的依据。
목적：응용이유급채색다보륵초성진단태반식입병총결분석태반식입적성상도특점，위림상진단급분면방식적선택제공중요적삼고신식。방법대49례태반식입환자결합림상、병리진단진행분석，총결태반식입적초성성상도특정。결과림상학진49례적태반식입，초성진단34례，진단정학솔위69.38％。산전초성진단29례，산후초성진단5례，초성루진15례。결론이유결합채색다보륵초성대진단태반식입유일정적특이성，위산전、산시、산후적처리급분면방식적선택제공중요적의거。
Objective To analyze the characteristics of gray-scale and color doppler ultrasonography in placenta accrete,providing important reference for clinical diagnosis and the choice of delivery mode.Methods The performance of ultrasound in 49 patients with pla-centa increta was analyzed and were confirmed with clinical pathology,and the characteristics of the ultrasound were summarized.Results There were 34 cases placenta increta diagnosed by gray-scale and color doppler ultrasonography in 49 patients who were confirmed clinically(34 /49),and the accuracy was 69.38%;29 cases were diagnosed by prenatal ultrasound,5 cases were diagnosed by postpartum ul-trasound,and 15 cases were missed diagnosed by ultrasound.Conclusion The combination of gray-scale and color doppler ultrasonography have important diagnostic value in placenta increta,which provides important evidence for clinical diagnosis and the choice of delivery mode.