产前超声诊断胎盘异常的临床意义  

Value of prenatal ultrasonography in the diagnosis of placenta abnormality

作　　者：汪淼[1] 邓萍[1] 李慧[1] 杨巧[1] 

机构地区：[1]遂宁市中心医院超声科,四川遂宁629000

出　　处：《西部医学》2018年第3期437-441,共5页Medical Journal of West China

摘　　要：目的探讨产前超声检查对诊断胎盘异常的临床意义。方法采用二维彩色多普勒超声及会阴超声对中晚期孕妇行产前检查,对发现胎盘异常的孕妇追踪观察,并与产后病理结果进行对比,探讨鉴别方法并分析误诊原因。结果产前超声检出胎盘异常151例,其中前置胎盘79例,胎盘早剥28例,帆状胎盘9例,轮状胎盘12例,胎盘植入14例,胎盘绒毛膜血管瘤9例。经产后病理证实超声诊断正确的128例,诊断符合率为84.77%;误漏诊23例,误漏诊率15.23%。结论产前超声检查是诊断胎盘异常简便而有效的方法,具有无创伤、无痛苦、可重复的优点,诊断正确率较高,可为临床正确处理胎盘异常提供可靠的诊疗依据,对改善胎儿预后,具有重要意义。Objective To evaluate the value of appearance in ultrasonographic and clinical significance in the diagnosis of the placenta abnormality. Methods The middlelate pregnant women were detected with two-dimensional color Doppler ultrasound. The pregnant women with placental abnormality were observed and explored the identification methods and analyzed the reasons of misdiagnosis. Results 151 cases with placental abnormality was detected by Doppler ultrasound, including 79 placenta previa, 28 placental abruption, 9 velamentous placenta, 12 placental placenta, 14 placenta increta and 9 placental chorionic hemangioma. Confirmed by pathology, postpartum ultrasonic diagnosis correct were 128 cases. The diagnosis coincidence rate was 84.77%. Conclusions Prenatal ultrasound diagnosis of placenta is the most simple and effective method, which has the advantages of no trauma, no pain and high diagnostic accuracy,and handle sthe placenta anomalies, provide reliable clinical diagnosis and treatment and has important significance for improving the prognosis of fetus.

关 键 词：胎盘异常 产前超声检查 鉴别诊断 临床意义 

分 类 号：R445.1[医药卫生—影像医学与核医学]