三维能量超声联合血清AFP、β-hCG检测诊断前置胎盘合并胎盘植入价值  

The value of three-dimensional energy ultrasonography combined with serum AFP andβ-HCG levels for diagnosing placenta previa complicated with placental implantation

作　　者：郑利会 梁吉雨 ZHENG Lihui;LIANG Jiyu(Puyang Maternal and Child Health Care Hospital, Henan Province, 457000)

机构地区：[1]河南省濮阳市妇幼保健院,457000

出　　处：《中国计划生育学杂志》2021年第10期2117-2120,2125,共5页Chinese Journal of Family Planning

摘　　要：目的:分析胎盘三维能量血流参数联合母体血清甲胎蛋白(AFP)及游离β绒毛膜促性腺激素(β-hCG)水平对前置胎盘合并胎盘植入性疾病(PAS)的诊断价值。方法:收集2018年3月—2020年6月于本院就诊的前置胎盘孕妇195例临床资料,分为PAS组(133例)与非PAS组(62例),非PAS孕妇分为胎盘粘连组(40例)与胎盘植入组(22例)。应用三维能量超声检查胎盘血管指数(VI)、血流指数(FI)及血管血流指数(VFI),分析各参数联合血清AFP、β-hCG对PAS的诊断价值。结果:PAS组AFP、胎盘血流VI、FI、VFI值均高于非PAS组,β-hCG低于非PAS组(P均<0.05);胎盘植入组AFP、胎盘血流VI、FI、VFI值高于胎盘粘连组(P均<0.05),β-hCG与胎盘粘连组无差异(P>0.05)。血清AFP、β-hCG及胎盘血流VFI对PAS具有预测效能,血清AFP及胎盘血流VFI对胎盘植入具有预测效能(均P<0.05);与PAS的产后诊断结果比较,血清AFP及胎盘血流VFI的一致性良好,血清β-hCG一致性中等,AFP联合VFI一致性很好,β-hCG联合VFI一致性良好。结论:血清AFP、β-hCG联合胎盘血流VFI可提高诊断PAS的一致性,血清AFP联合胎盘血流VFI诊断效能最佳。Objective:To analyze the value of the placenta blood flow parameters by three dimensional energy combined with the levels of serum alpha-fetoprotein(AFP)and freeβhuman chorionic gonadotropin(β-HCG)for diagnosing placenta previa complicated with placental implantation.Methods:The clinical data of 195 pregnant women with placenta previa from March 2018 to June 2020 were collected.These women were divided into group A(133 women with placenta previa complicated with placental implantation)and group B(62 women without placenta previa complicated with placental implantation).The women in group A were further divided in 40 women with placenta adhesion in group A1 and 22 women with placental implantation group in group A2.The values of placental vascular index(VI),the blood flow index(FI),and the blood flow index(VFI)of all the women were examined by three-dimensional energy ultrasound.The diagnostic value of the values of VI,FI,and VFI combined with serum AFP andβ-HCG levels for placenta previa complicated with placental implantation was analyzed.Results:The AFP level,and the VI,FI,and VFI values of the women in group A were significant higher than those of the women in group B,but theβ-HCG level of the women in group A was significant lower(P<0.05).The AFP level,and the VI,FI,and VFI values of the women in group A2 were significant higher than those of the women in group B(all P<0.05).There was no significant different inβ-HCG level of the women between group A2 and group B(P>0.05).The serum AFP andβ-HCG levels had predictive value for placenta previa complicated with placental implantation.The serum AFP level and placental blood flow VFI value had predictive value for the placental implantation(all P<0.05).Compared with the results of Postpartum diagnosis,the consistency of the AFP level alone or the VFI value of placental blood flow alone for diagnosing the placenta previa complicated with placental implantation was perfect,but the consistency of theβ-HCG level alone for diagnosing the placenta previa and plac

关 键 词：前置胎盘合并胎盘植入性疾病 超声参数 甲胎蛋白 游离β绒毛膜促性腺激素 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.2[医药卫生—诊断学]