彩色多普勒超声检查对胎盘早剥的临床诊断价值分析  

Clinical Value of Color Doppler Ultrasonography in the Diagnosis of Placental Abruption

作　　者：李燕 石俊[2] 聂志伟 LI Yan;SHI Jun;NIE Zhi-wei(The Fourth People＇s Hospital of Zhenjiang,Zhenjiang,Jiangsu Province,212001 China;Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu Province,212000 China)

机构地区：[1]镇江市第四人民医院,江苏镇江212001 [2]江苏大学附属医院,江苏镇江212000

出　　处：《中外医疗》2018年第30期162-164,共3页China & Foreign Medical Treatment

基　　金：江苏省自然科学基金面上项目(BK20171311)

摘　　要：目的探讨彩色多普勒超声对产科危急症胎盘早剥的临床诊断价值。方法回顾性分析2010—2017年该院经随访证实的80例胎盘早剥患者的临床病例资料和超声声像图表现。结果超声检出胎盘早剥66例,诊断符合率82.5%(66/80),漏诊11例,误诊3例。结论彩色多普勒超声检查是诊断胎盘早剥的首选且重要的检查方法 ,配以动态追踪观察,可有效避免漏误诊,提高胎盘早剥的诊断符合率。Objective To investigate the clinical value of color Doppler ultrasound in the diagnosis of placental abruption in obstetric emergency. Methods The clinical case data and ultrasound sonograms of 80 patients with placental abruption confirmed by follow-up in the hospital from 2010 to 2017 were retrospectively analyzed. Results 66 cases of placental abruption were detected by ultrasound. The diagnostic coincidence rate was 82.5%（66/80）, 11 cases were missed, and 3 cases were misdiagnosed. Conclusion Color Doppler ultrasonography is the first and most important method for the diagnosis of placental abruption. Dynamic tracking observation can effectively avoid misdiagnosis and improve the diagnostic coincidence rate of placental abruption.

关 键 词：胎盘早剥 彩色多普勒超声 动态追踪观察 

分 类 号：R445.1[医药卫生—影像医学与核医学]