临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
Journal of Clinical and Experimental Medicine
2015年
20期
1729-1732
,共4页
前置胎盘%经会阴部超声%经腹部超声%妊娠结局%相关性
前置胎盤%經會陰部超聲%經腹部超聲%妊娠結跼%相關性
전치태반%경회음부초성%경복부초성%임신결국%상관성
Placenta previa%Perineal ultrasound%Abdominal ultrasound%Pregnancy outcomes%Relevance
目的：探讨超声诊断不同类型前置胎盘与妊娠结局的相关关系。方法对50例经临床手术确诊的前置胎盘患者分别行腹部超声诊断与会阴部超声诊断，比较两种方法诊断不同类型前置胎盘与手术诊断符合率，并分析不同类型前置胎盘与妊娠结局之间的关系。结果与经腹部超声诊断的完全性、部分性及边缘性前置胎盘病例数与手术证实诊断符合率分别为72.22％，78.57％，77.78％；经会阴部超声诊断的完全性、部分性及边缘性前置胎盘病例数与手术证实诊断符合率为88.89％，92.86％，100％。经会阴部超声诊断前置胎盘准确率高于经腹部超声，差异具有统计学意义（ P ﹤0.05）。完全性前置胎盘发生胎盘粘连、胎盘植入、产后出血及子宫切除的比率高于部分性及边缘性前置胎盘组，差异均具有统计学意义（ P ﹤0.05）。完全性前置胎盘组围生儿窒息、早产率、病死率高于部分性组及边缘性组， Apgar 评分较低，差异均具有统计学意义（ P ﹤0.05）。结论经会阴部超声诊断前置胎盘较经腹部超声诊断价值更高，适合用于诊断不同类型的前置胎盘；完全性前置胎盘具有更差的妊娠结局，应加强对该类型前置胎盘患者产前监护与保健。
目的：探討超聲診斷不同類型前置胎盤與妊娠結跼的相關關繫。方法對50例經臨床手術確診的前置胎盤患者分彆行腹部超聲診斷與會陰部超聲診斷，比較兩種方法診斷不同類型前置胎盤與手術診斷符閤率，併分析不同類型前置胎盤與妊娠結跼之間的關繫。結果與經腹部超聲診斷的完全性、部分性及邊緣性前置胎盤病例數與手術證實診斷符閤率分彆為72.22％，78.57％，77.78％；經會陰部超聲診斷的完全性、部分性及邊緣性前置胎盤病例數與手術證實診斷符閤率為88.89％，92.86％，100％。經會陰部超聲診斷前置胎盤準確率高于經腹部超聲，差異具有統計學意義（ P ﹤0.05）。完全性前置胎盤髮生胎盤粘連、胎盤植入、產後齣血及子宮切除的比率高于部分性及邊緣性前置胎盤組，差異均具有統計學意義（ P ﹤0.05）。完全性前置胎盤組圍生兒窒息、早產率、病死率高于部分性組及邊緣性組， Apgar 評分較低，差異均具有統計學意義（ P ﹤0.05）。結論經會陰部超聲診斷前置胎盤較經腹部超聲診斷價值更高，適閤用于診斷不同類型的前置胎盤；完全性前置胎盤具有更差的妊娠結跼，應加彊對該類型前置胎盤患者產前鑑護與保健。
목적：탐토초성진단불동류형전치태반여임신결국적상관관계。방법대50례경림상수술학진적전치태반환자분별행복부초성진단여회음부초성진단，비교량충방법진단불동류형전치태반여수술진단부합솔，병분석불동류형전치태반여임신결국지간적관계。결과여경복부초성진단적완전성、부분성급변연성전치태반병례수여수술증실진단부합솔분별위72.22％，78.57％，77.78％；경회음부초성진단적완전성、부분성급변연성전치태반병례수여수술증실진단부합솔위88.89％，92.86％，100％。경회음부초성진단전치태반준학솔고우경복부초성，차이구유통계학의의（ P ﹤0.05）。완전성전치태반발생태반점련、태반식입、산후출혈급자궁절제적비솔고우부분성급변연성전치태반조，차이균구유통계학의의（ P ﹤0.05）。완전성전치태반조위생인질식、조산솔、병사솔고우부분성조급변연성조， Apgar 평분교저，차이균구유통계학의의（ P ﹤0.05）。결론경회음부초성진단전치태반교경복부초성진단개치경고，괄합용우진단불동류형적전치태반；완전성전치태반구유경차적임신결국，응가강대해류형전치태반환자산전감호여보건。
Objective To explore the relationship between ultrasound diagnosis for different types of placenta previa and outcome of preg-nancy. Methods Fifty patients clinically diagnosed as placenta previa were detected by abdominal ultrasound and perineal ultrasound,and the coincidence rate of placenta previa diagnosed by ultrasound and surgical diagnosis was compared,and the relationship between different types of placenta previa and outcome of pregnancy had been analyzed. Results The coincidence rates of placenta praevia partialis,marginal placenta praevia and complete placenta praevia by abdominal ultrasound diagnosis and surgery confirmed diagnosis were 72. 22% ,78. 57% and 77. 78%respectively. The coincidence rates of placenta praevia partialis,marginal placenta praevia and complete placenta praevia in diagnosis of perineum ultrasound and surgery confirmed diagnosis were 88. 89% ,92. 86% and 100% respectively. The difference in accuracy of diagnosis of placenta previa between these 2 methods was statistically significant( P ﹤ 0. 05). Complete placenta previa with placenta conglutination in comparison with placenta praevia partialis and marginal placenta praevia,placenta increta,would increase the probability of postpartum hemorrhage and hyster-ectomy,and the differences was statistically significant( P ﹤ 0. 05). The occurrence of asphyxia in perinatal infant,premature birth rate and mor-tality in 3 perinatal stages of complete placenta previa group were higher than those with partialis or marginal placenta praevia groups,with lower Apgar scores,and the differences was statistically significant( P ﹤ 0. 05). Conclusion Perineal ultrasound diagnosis of placenta previa in com-parison with abdominal ultrasound has higher value,and it is suitable for the diagnosis of different types of placenta previa. Patients with complete placenta previa have poorer outcome of pregnancy,hence its prenatal care and health care should be strengthened.
