论文部分内容阅读
目的 :对经腹彩色超声多普勒在前置胎盘并发胎盘植入诊断中的价值进行探讨。方法 :在2014年5月—2015年5月这段期间内,选取来我院住院治疗的前置胎盘患者120例,在产前经腹彩色超声多普勒对患者是否有并发胎盘植入进行预测,可实施及时性跟踪以及对相关临床因素进行调查,在孕妇分娩时发现胎盘植入以及对产后胎盘病理检查进行确切的诊断。如果胎盘植入经腹彩色超生多普勒的图像会显示为:胎盘后间隙消失或胎盘实质内充满丰富的血流,并且动脉血流紊乱急促,甚至会对子宫肌层造成连累情况。结果 :最终诊断结果为16例患者有并发胎盘植入现象,经腹彩超的敏感性为80%(16/20),特异性为91.67%(110/120),阳性与阴性预测值分别为81.2%(13/16),96.6%(116/120)。结论 :前置胎盘并发植胎盘植入现象极易发生,并且终止妊娠对孕妇的生命健康造成威胁。经腹彩色超声产前诊断前置胎盘并发胎盘植入有显著的预见的效果。
Objective: To investigate the value of transabdominal color Doppler in the diagnosis of placenta accreta placenta previa. Methods: From May 2014 to May 2015, 120 patients with placenta previa admitted to our hospital were enrolled. The patients underwent prenatal transabdominal color Doppler ultrasound with or without placenta accreta Predictions, timeliness of follow-up, and investigation of relevant clinical factors, placenta accreta in the delivery of pregnant women, and accurate diagnosis of postpartum placental pathology. If the placenta accreta implants color Doppler ultrasound images will show: disappearance of the placenta or placenta after the gap is filled with substantial blood flow, and rapid arterial blood flow disorder, and even cause myometrial involvement conditions. Results: The final diagnosis was that 16 patients had concurrent placenta accreta. The sensitivity of abdominal ultrasonography was 80% (16/20), the specificity was 91.67% (110/120), and the positive and negative predictive values were 81.2 % (13/16), 96.6% (116/120). Conclusion: Placenta previa placenta accreta placenta accreta phenomenon easily occur, and termination of pregnancy on the life and health of pregnant women pose a threat. Abdominal color ultrasound prenatal diagnosis of placenta accreta placenta previa has a significant effect.