不典型胎盘早剥超声声像图特点与临床分析  

Ultrasonographic features and Clinical Analysis of atypical placental abruption

作　　者：张莉 李芳 ZHANG Li;LI Fang(Department ofUltrasound,People's Hospital ofQitai County,Changji Hui Autonomous Prefecture,Qitai,Xinjiang 831800,China)

机构地区：[1]新疆昌吉回族自治州奇台县人民医院超声科

出　　处：《新疆医学》2019年第6期624-626,共3页Xinjiang Medical Journal

摘　　要：目的研究不典型胎盘早剥超声声像图特点和误诊、漏诊的原因。方法对30例不典型胎盘早剥超声声像图进行回顾性分析,观察其胎盘的附着位置、胎盘厚度、胎盘和宫壁间的图像、内部实质回声,并同手术结果进行对照。结果22例产前确诊;5例误诊,其中有2例复查后确诊;3例漏诊。结论不典型胎盘早剥超声声像图较为复杂,容易出现误诊、漏诊的情况,需根据临床情况进辨认,胎盘局部异常增厚、胎盘后方血液流信号消失、胎盘和宫壁间无回声或回声较低、脐动脉血流不正常等均为不典型胎盘早剥的具体表现。Objective To study the characteristics and causes of misdiagnosis and missed diagnosis of atypical placental abruption.Methods The ultrasonic images of 30 cases of atypical placental abruption were analyzed retrospectively.The placental attachment,the thickness of placenta,the images between placenta and uterine wall,the echo of internal parenchyma were observed and compared with the results of operation.Results In 22 cases of prenatal diagnosis,5 cases were misdiagnosed,of which 2 cases were misdiagnosed and 3 cases missed diagnosis after reexamination.Conclusion Atypical placental abruption ultrasound is complex,prone to misdiagnosis,missed diagnosis,according to the clinical situation identification,placenta local abnormal thickening,placental blood flow signals disappeared behind the placenta and uterine wall,no echo or lowecho,abnormal umbilical artery blood floware the specific performance of atypical placental abruption.

关 键 词：不典型 胎盘早剥 超声声像图 临床分析 

分 类 号：R730.41[医药卫生—肿瘤]