彩超对部分性胎盘植入的诊断  

B-ultrasound in Diagnosis of Partial Placenta Implantation

作　　者：黄琼[1] 刘敏[1] 吴秋梅[1] 党婷婷[1] HUANG Qiong;LIU Min;WU Qiumei;DANG Tingting(Color Ultrasound Department,Fujian Provincial Maternity and Child Care Center,Fuzhou Fujian 350001,China)

机构地区：[1]福建省妇幼保健院超声科,福建福州350001

出　　处：《中国卫生标准管理》2018年第21期102-104,共3页China Health Standard Management

摘　　要：目的探讨彩超对部分性胎盘植入的临床诊断价值。方法选取64例2017年2月—2018年2月在我院治疗的疑似部分性胎盘植入患者,对本组患者均进行三维超声检查,并将超声检查结果与病理诊断结果进行比较。观察彩超诊断的准确率。结果以病理诊断结果为金标准,彩超检查结果的准确率为98.00%(49/50),并且彩超检查与病理诊断两种诊断方法的吻合度具有较高的一致性(Kappa=0.747)。灵敏度为98.00%,特异度为92.86%。结论将彩超检查应用在诊断部分性胎盘植入患者的临床上,能够更加直观、形象的将病变处的立体结构、血流灌注情况以及血管的空间位置显示出来,为临床诊断提供更多的量化指标,能够帮助诊断人员对胎盘植入的深入、面积等进行判断,从而制定有效的胎盘植入早期诊断和治疗方案,提高对预后的评估。Objective To investigate the clinical diagnostic value of color Doppler ultrasound in partial placenta implantation.Methods 64 patients with suspected partial placenta who were treated in our hospital from February 2017 to February 2018 were enrolled.Three-dimensional ultrasonography was performed on this group of patients,and the results of ultrasonography were compared with pathological diagnosis.Observe the accuracy of color Doppler diagnosis.Results The pathological diagnosis was the gold standard.The accuracy of color Doppler ultrasound examination was 98.00%(49/50),and the agreement between color Doppler ultrasound and pathological diagnosis was highly consistent(Kappa=0.747).The sensitivity was 98.00%and the specificity was 92.86%.Conclusion The application of color Doppler ultrasonography in the diagnosis of patients with partial placenta implantation can more intuitively and visually display the three-dimensional structure of the lesion,blood perfusion and the spatial position of the blood vessels,providing more for clinical diagnosis.Quantitative indicators can help the diagnosis of the depth and area of the placenta implant,so as to develop effective early diagnosis and treatment of placenta implantation,improve the evaluation of prognosis.

关 键 词：彩超 部分性 胎盘植入 诊断 量化指标 治疗 

分 类 号：R445[医药卫生—影像医学与核医学]