妊娠晚期超声诊断帆状胎盘在产科中的应用价值  

Application value of ultrasonography in diagnosis of velamentous placenta in obstetrics during late pregnancy

作　　者：王磊 农丽录 Wang Lei;Nong Lilu(Department of Ultrasound Medicine,Shenzhen Hospital,University of Hong Kong,Shenzhen 518000,China)

机构地区：[1]香港大学深圳医院超声医学部,广东深圳518000

出　　处：《实用妇科内分泌电子杂志》2023年第23期103-105,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究妊娠晚期超声诊断帆状胎盘在产科中的应用价值。方法选取70例建档的产妇,根据是否存在帆状胎盘分为患者组(帆状胎盘产妇)与健康组(非帆状胎盘产妇),各35例。给予患者组晚期超声检查,以产后确诊结果为准,比较患者组产后确诊与妊娠晚期超声胎盘疾病检出情况,并比较两组产妇临床指标,分析帆状胎盘的超声影像学特征。结果患者组妊娠晚期超声检出率(91.43%)与产后确诊结果(100%)一致性较高,差异无统计学意义(χ^(2)=3.1343,P=0.0767>0.05)。患者组产前阴道出血率、胎心监护异常率、剖宫产率及新生儿预后不良率均高于健康组,且平均出血量多于健康组,差异有统计学意义(P<0.05)。结论存在帆状胎盘症状孕妇若不加以重视,可能会造成新生儿预后不良,通过开展妊娠晚期超声检查,能有效检出和筛查帆状胎盘,脐带位于胎盘的插入位置,为临床提供较为可靠的参考。Objective To explore the application value of ultrasound diagnosis of velamentous placenta in obstetrics in the third trimester of pregnancy.Methods According to the presence or absence of velar placenta,70 parturients were divided into the patient group(velamentous placenta parturients)and the healthy group(non-velamentous placenta parturients),with 35 cases each.The patient group was given late ultrasound examination,based on the postpartum diagnosis results,and the postpartum diagnosis and ultrasonic placental disease detection in the third trimester of pregnancy were compared in the patient group,and the clinical indicators of the two groups were compared,and the ultrasonic imaging characteristics of the velamentous placenta were analyzed.Results The ultrasound detection rate in the third trimester of pregnancy(91.43%)was significantly consistent with the postpartum diagnosis result(100%),with no statistical significance(x?=3.1343,P=0.0767>0.05).The incidence of prenatal vaginal bleeding,abnormal fetal heart monitoring,cesarean section and poor neonatal prognosis in the patient group was higher than that in the healthy group,and the average blood loss was higher than that in the healthy group,the difference was statistically significant(P<0.05).Conclusion If pregnant women with velar placenta symptoms are not paid attention to,they may have a poor prognosis for newborns.Ultrasonography in the third trimester can effectively detect and screen the velamentous placenta,and the umbilical cord is located at the placenta insertion position,providing a reliable reference for clinical practice.

关 键 词：帆状胎盘 妊娠晚期 超声诊断 

分 类 号：R714[医药卫生—妇产科学]