彩色多普勒超声检测早期妊娠凶险性前置胎盘伴胎盘植入的价值  

Color Doppler ultrasound in detection of pernicious placenta previa complicating placenta implantation in early pregnancy

作　　者：廖彩华 李上英 彭爱云 陈禄英 林丽 周永贤[4] Liao Caihua;Li Shangying;Peng Aiyun;Chen Luying;Lin Li;Zhou Yongxian(Department of Ultrasoun;Department of Gynecolog;Department of Patholog;Luoding Maternal and Child Health Hospital,Luoding 527200,Chin;Department of Clinical Laboratory,Guangdong Maternal and Child Health Hospital,Guangzhou 510010,China)

机构地区：[1]罗定市妇幼保健院超声科,527200 [2]罗定市妇幼保健院妇科,527200 [3]罗定市妇幼保健院病理科,527200 [4]广东省妇幼保健院检验科,广州510010

出　　处：《国际医药卫生导报》2018年第20期3074-3077,共4页International Medicine and Health Guidance News

基　　金：云浮市科技计划项目（WS201627）

摘　　要：目的 探查彩色多普勒超声在早期妊娠凶险性前置胎盘伴胎盘植入中的临床诊断价值.方法 选取2016年4月至2018年4月罗定市妇幼保健院及广东省妇幼保健院收治的158例瘢痕子宫再妊娠孕妇为研究对象,其中45例凶险性前置胎盘伴胎盘植入设为观察组,113例凶险性前置胎盘未伴胎盘植入设为对照组;在妊娠早期（妊娠5～ 13周）进行彩色多普勒超声检查,对孕妇的产前超声特点和临床特征表现进行回顾性分析.结果 经彩色多普勒超声检测,诊断为凶险性前置胎盘伴胎盘植入43例,准确率为95.56％ （43/45）,诊断为凶险性前置胎盘未伴胎盘植入109例,准确率为96.46％（109/113）;观察组孕妇子宫肌层＜ 2mm占75.56％、胎盘增厚占51.22％、胎盘后间隙消失占71.11％、宫颈膨大占33.33％,均显著高于对照组（分别为11.50％、15.04％、11.50％、2.65％）,均P＜0.05;观察组孕妇平均年龄（32.26±2.28）岁,对照组平均年龄为（30.11±2.17）岁,P＜0.05;观察组宫腔操作次数（3.12±1.28）次,对照组（1.03±0.85）次,P＜0.05.结论 在凶险性前置胎盘伴胎盘植入的临床诊断上,彩色多普勒超声技术的诊断准确率相对较高,尤其是高龄、宫腔操作次数多的孕妇合并胎盘植入的可能性更大,采用该检测技术可更好地进行早期临床诊断,为临床处理提供科学、直观的数据支持.Objective To investigate the clinical diagnostic value of color Doppler ultrasound in in detection of pernicious placenta previa complicating placenta implantation in early pregnancy.Methods A total of 158 pregnant women with scar uterus re-pregnancy admitted into Luoding Maternal and Child Health Hospital from April,2016 to April,2018 and Guangdong Maternal and Child Health Hospital were selected.Among the 158 pregnant women,45 with pernicious placenta previa complicating placenta implantation were set as an observation group,and the other 113 with pernicious placenta previa a control group.When the women were 5-13 weeks pregnant,they were examined by color Doppler ultrasound.Their prenatal ultrasound characteristics and clinical features were retrospectively analyzed.Results 43 cases were diagnosed with pernicious placenta previa complicating placenta implantation by color Doppler ultrasound,with an accuracy of 95.56% （43/45）;and 109 case with pernicious placenta previa,with an accuracy of 96.46% （109/113）.In the observation group,75.56% women＇s myometrium 〈 2 mm accounted for,51.22% women had placental thickening,71.11% had placental posterior gap disappearance,and 33.33% had cervical enlargement;which were obviously higher than those in the control group （11.50%,15.04%,11.50%,and 2.65%;all P 〈 0.05）.The average age was （32.26±2.28）in the observation group,and was （30.11±2.17） in the control group （P〈0.05）.The intrauterine operation times was higher in the observation group than in the control group [（3.12±1.28） vs.（1.03±0.85）;P 〈 0.05].Conclusions In the clinical diagnosis of pernicious placenta previa complicating placenta implantation,the diagnostic accuracy of color Doppler ultrasound is relatively high,especially for pregnant women with advanced age and more uterine operations.The detection technology is better for early clinical diagnosis and can provide scientific and intuitive data support for clinical treatment.

关 键 词：彩色多普勒超声 早期妊娠 凶险性前置胎盘 胎盘植入 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]