产后胎盘滞留的超声造影声像表现及临床指导意义  

Contrast-Enhanced Ultrasound Imaging of Postpartum Placenta Retention and its Clinical Guiding Significance

作　　者：甘玲[1] 李海英[1] 刘新秀[1] 谢丽君[1] 陈玲[1] 叶真[1] GAN Ling;LI Haiying;LIU Xinxiu;XIE Lijun;CHEN Ling;YE Zhen(Department of Ultrasound,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院超声影像科

出　　处：《福建医科大学学报》2019年第2期120-123,共4页Journal of Fujian Medical University

摘　　要：目的探讨产后胎盘滞留的实时灰阶超声造影声像表现及其临床指导意义。方法回顾性分析28例产后胎盘滞留(其中胎盘残留6例,粘连性胎盘6例,植入性胎盘16例)患者的常规超声表现及实时灰阶超声造影增强模式。结果产后胎盘滞留的超声造影增强模式分为快速高增强型、同步等或低增强型和无增强型。常规超声联合超声造影诊断胎盘残留、粘连性胎盘和植入性胎盘的符合率(25/28,89.29%)较常规超声(16/28,57.14%)高,差别有统计学意义(P<0.05)。结论实时灰阶超声造影有助于产后胎盘滞留原因的诊断与分析,为临床制定个性化治疗方案提供影像学依据。Objective To explore the image of contrast-enhanced ultrasound (CEUS) in postpartum placental retention and its clinical significance.MethodsWe performed a retrospective analysis on 28 cases of postpartum placental retention (6 cases of placenta residue, 6 cases of adherent placenta, 16 cases of placenta increta ) patients with conventional ultrasonography findings and contrast-enhanced ultrasound enhanced mode.ResultsPostpartum retention of placenta ultrasound imaging enhancement pattern was divided into three types: high rapid enhancement, synchronous or low enhanced, and not-enhanced.The coincidence rate of conventional ultrasonic combined CEUS in the diagnosis of placenta residue, placenta adhesion and placenta increta(89.29%,25/28) was significantly higher than conventional ultrasound (57.14%, 16/28)( P <0.05).ConclusionCEUS is helpful in diagnose of postpartum placental retention, for better understanding of its courses, and it may help with providing personalized treatment options with imaging date.

关 键 词：超声检查 胎盘 滞留 产后期 造影剂 

分 类 号：R339.22[医药卫生—人体生理学] R714[医药卫生—基础医学]