胎盘植入产前的超声诊断价值  

Prenatal Diagnostic Value of Placenta Implantation with Prenatal Ultrasonography

作　　者：叶晶晶[1] 林鹏生[1] 林云侨[1] 

机构地区：[1]福建医科大学附属宁德市医院超声科,福建宁德352100

出　　处：《医疗装备》2017年第9期14-15,共2页Medical Equipment

摘　　要：目的探讨胎盘植入的超声表现及诊断价值。方法回顾性分析2010年1月至2016年1月福建医科大学附属宁德市医院产科收治的108例具有胎盘植入高风险因素患者的临床资料,将产前超声诊断结果与手术及病理结果进行比较,分析产前超声检查在胎盘植入中的诊断价值。结果 108例患者中,产前超声准确诊断91例,诊断胎盘植入的灵敏度为80.0%,特异度为86.3%。胎盘植入的超声表现为胎盘增厚,胎盘与子宫肌壁界限不清,胎盘后间隙消失,可见胎盘漩涡,子宫膀胱壁界面毛糙。结论胎盘植入具有较为特征性的超声表现,作为产前诊断胎盘植入的主要影像学检查手段,其诊断价值值得肯定。Objective To investigate the Itrasonographic features and diagnostic value of placenta implantation. Methods Retrospectively analyze the clinical data of 108 patients with high risk factors of placenta implantation in Ningde Hospital Affiliated to Fuiian Medical University from Jan. 2010 to Jan. 2016. The results of prenatal ultrasound diagnosis were compared with the results of surgery and pathology. To analyze the diagnostic value of prenatal ultrasonography in placenta implantation. Results Prenatal ultrasound diagnosed accurately 91 cases in 108 patients the sensitivity to the diagnosis of placenta implantation was 80.0%, the specificity was 86.3%. Sonographic features of placenta implantation were the placenta thickening, the boundary between the placenta and uterine wall is not dear, the posterior space of placenta disappeared, the placenta vortex visible, the interface between uterus and bladder is rough. Conclusion Placenta implantation can be prenatally diagnosed bycharacteristic ultrasonic features. As the main imaging examination method for the prenatal diagnosis of placenta implantation, diagnostic value of ultrasonography is worthy of recognition.

关 键 词：胎盘植入 超声检查 产前诊断 

分 类 号：R714.2[医药卫生—妇产科学]