超声检查在胎盘血窦中的诊断效果及与围生儿结局的相关性  

The diagnostic effect of ultrasonography in placental sinusoids and its relationship with perinatal outcomes

作　　者：华知奋 周毓青 何碧媛 李冰 陈晓菲 唐龙英 HUA Zhifen;ZHOU Yuqing;HE Biyuan;LI Bing;CHEN Xiaofei;TANG Longying(Department of Obstetrics, Shanghai Chang Ning Maternity & Infant Health Hospital, Shanghai 200040, China;Department of Ultrasonography, Shanghai Chang Ning Maternity & Infant Health Hospital, Shanghai 200040, China;Department of Pathology, Shanghai Chang Ning Maternity & Infant Health Hospital, Shanghai 200040, China)

机构地区：[1]上海市长宁区妇幼保健院产科,上海200040 [2]上海市长宁区妇幼保健院超声科,上海200040 [3]上海市长宁区妇幼保健院病理科,上海200040

出　　处：《医学影像学杂志》2022年第7期1207-1210,共4页Journal of Medical Imaging

基　　金：上海市医学重点专科建设计划项目(编号:ZK2019B02)。

摘　　要：目的探讨超声检查在胎盘血窦中的诊断效果及与围生儿结局的关系。方法选取我院于28周以后分娩的孕妇9451例,行超声检查,并以临床胎盘病理结果作为“金标准”,分析超声检查在胎盘血窦中的效果并计算诊断效能。根据病理结果将孕妇分为血窦组和对照组,对两组孕妇进行随访(随访到胎儿娩出截止),比较两组围生儿结局;采用Pearson相关性分析软件对孕妇胎盘血窦发生率与围生儿结局进行相关性分析。结果9451例孕妇经病理检查确诊胎盘血窦28例,确诊率为0.30%。超声检查最终确诊25例,检查准确率为89.29%(25/28)(P>0.05),诊断灵敏度为82.14%(23/28)、特异度为99.98%(9421/9423);血窦组剖宫产率、产前出血率、新生儿窒息率、胎儿宫内生长受限率高于对照组(P<0.05);Pearson相关性分析结果表明:胎盘超声诊断胎盘血窦检出率与剖宫产率、产前出血率、新生儿窒息率、胎儿宫内生长受限率呈正相关性(P<0.05)。结论超声检查用于胎盘血窦中检出率及诊断灵敏度、特异度较高,且与围生儿结局存在强相关性,加强孕妇超声检查,能改善胎盘血窦孕妇妊娠结局。Objective To investigate the diagnostic effect of ultrasonography in placental sinusoids and its relationship with perinatal outcomes.Methods A total of 9451 pregnant women who underwent obstetric examination in our hospital from January 2017 to October 2021 and gave birth in our hospital after 28 weeks were selected as the subjects.The diagnostic effect of ultrasonography in placental sinusoids was analyzed and the diagnostic efficacy was calculated.According to the pathological results,the pregnant women were divided into a sinusoid group and a control group.The two groups of pregnant women were followed up(follow-up until the end of fetal delivery),and the perinatal outcomes of the two groups were compared.Correlation analysis was performed on birth outcomes.Results Of the 9451 pregnant women,28 were confirmed by pathological examination,and the confirmed rate was 0.30%.Ultrasound examination finally confirmed 25 cases,the inspection accuracy was 89.2%(25/28)(P>0.05),the diagnostic sensitivity was 82.14%(23/28),and the specificity was 99.98%(9421/9423);The cesarean section rate,antepartum hemorrhage rate,neonatal asphyxia rate and intrauterine growth restriction rate in the blood sinus group were higher than those in the control group(P<0.05).The rate was positively correlated with uterine birth rate,antenatal hemorrhage rate,neonatal asphyxia rate and intrauterine growth restriction rate(P<0.05).Conclusion Ultrasound examination in placental sinusoids has a high detection rate,diagnostic sensitivity and specificity,and has a strong correlation with perinatal outcomes.Strengthening the ultrasound examination of pregnant women can improve the pregnancy outcomes of pregnant women with placental sinusoids.

关 键 词：超声检查 胎盘血窦 诊断效果 围生儿结局 相关性分析 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.4[医药卫生—诊断学]