利用彩色多普勒超声预测产后大出血的临床应用价值  

To investigate the clinic value of Color Doppler flow imaging to predictive postpartum hemorrhage

作　　者：黄晓靓[1] 田艾军[1] 盛小奇[1] 

机构地区：[1]湖南省妇幼保健院

出　　处：《药物与人》2014年第4期76-77,共2页Medicine & People

摘　　要：目的：探讨产前利用彩色多普勒超声方法预测产后大出血的临床应用价值。方法：应用二维超声、彩色多普勒、能量多普勒、3D技术,探查143例妊娠中晚期孕妇胎盘与子宫情况。结果：胎盘早剥44例、单纯性前置胎盘52例、胎盘植入23例、疤痕子宫先兆破裂8例、多胎妊娠5例,超声诊断127例,漏诊11例,误诊6例,经超声提示后,部分病例经临床干预治疗,最终出现临床大出血者49例。结论：彩色多普勒对预测胎盘早剥、前置胎盘、疤痕子宫合并胎盘植入、疤痕子宫先兆破裂、多胎妊娠等多种高危因素所引起的产后大出血有极高的临床价值,且具有快速、无创、准确率高等特点。Objective：To investigate the prenatal color Doppler ultrasonography（CDFI）method to predict postpartum hemorrhage clinical value.Methods：the application of two-dimensional ultrasound,CDFI,CDE,3Dechnology,exploration in 143cases of pregnant women in late pregnancy placenta and uterine conditions.Results：44cases of placental abruption,52cases of placenta previa,23cases of placenta accreta,scar uterusthreatened rupture in 8cases,5cases of multiple pregnancy,ultrasound diagnosis of 127cases,11cases were missed diagnosis,6cases were misdiagnosed,the ultrasonic testing,somecases of clinical intervention,eventually n 49cases the clinical bleeding.Conclusion：the CDFI on the prediction of placental abruption,placenta previa,uterine scar,scar uterus with placenta accreta threatened rupture,multiple pregnancy and other risk factors caused by postpartum,and has a fast,noninvasive,accurate rate highercharacteristic.

关 键 词：彩色多普勒超声 产前预测 产后大出血 

分 类 号：R445.1[医药卫生—影像医学与核医学]