两种不同超声诊断方法诊断前置胎盘82例的临床对比研究  

Two different ultrasonic diagnosis met hod in the diagnosis of placenta previa,82 cases of clinical comparative study

作　　者：刘珊珊[1] 蔡少雨[1] 陈伟娴 吕晓辉[1] 区美珍 

机构地区：[1]广东省佛山市高明区人民医院,528500

出　　处：《实用医技杂志》2016年第11期1175-1177,共3页Journal of Practical Medical Techniques

摘　　要：目的探讨经腹部超声与经会阴超声诊断前置胎盘的准确率。方法回顾性分析我院收治于2014年1月至2016年1月经分娩证实为前置胎盘的82例患者,按照诊断方式的不同分为对照组和观察组各41例,对照组行经腹部超声诊断,观察组行经会阴超声诊断。比较2种不同诊断方法的诊断准确率。结果观察组的诊断准确率为95%;对照组的诊断准确率为76%,观察组的诊断准确率明显高于对照组,差异具有统计学意义(P<0.05);观察组的漏诊率为5%,对照组的漏诊率为24%,观察组明显低于对照组,差异有统计学意义(P<0.05)。结论前置胎盘采用经会阴超声诊断能有效提高诊断准确率,该诊断方法可将子宫后壁、侧壁,以及胎先露位置较低者清晰显示出来,降低误诊率。Objective To explore contrast approved by abdominal ultrasonography and the perineum ultrasound diagnostic accuracy rate of placenta previa. Methods Our hospital were retrospectively analyzed from January 2014 to January 2016 menstrual delivery confirmed for 82 cases of placenta previa,according to the diagnosis way of 41 cases were divided into control group and observation group,control group via abdominal ultrasound diagnosis,observation group via the perineum ultrasound diagnosis. Comparison of two different diagnostic accuracy rate of diagnosis method.Results The observer group diagnosis accuracy rate is 95%;The control of the diagnostic accuracy was 76%,the diagnostic accuracy of observation group was obviously higher than that of control group,with significant difference（P〈0.05）. Group of the missed diagnosis rate was 5%,the missed diagnosis rate was 24% in the control group,observation group significantly lower than the control group,significant difference（P〈0.05）. Conclusion By applying the perineum ultrasound diagnosis of placenta previa to effectively improve the diagnostic accuracy rate,the diagnosis can be back wall and side wall of the uterus,and lower clearly shows the position of fetal presentation,reduce the misdiagnosis rate.

关 键 词：前置胎盘 超声检查 产前 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.2[医药卫生—诊断学]