核磁共振联合血清CK、AFP诊断对植入型凶险性前置胎盘应用子宫动脉栓塞术的价值分析  

The value analysis of nuclear magnetic resonance combined with serum CK and AFP diagnosis in preoperative application of uterine artery embolization for implanted malignant placenta previa

作　　者：罗崇军 钟华英 罗力 廖鑫 李相琼 Luo Chongjun;Zhong Huaying;Luo Li;Liao Xin;Li Xiangqiong(Medical Imaging Department,Yingshan County People's Hospital,Yingshan Sichuan,637700,China;Yingshan County People's Hospital,Obstetrics and Gynecology,Yingshan Sichuan,637700,China)

机构地区：[1]营山县人民医院医学影像科,四川营山637700 [2]营山县人民医院妇产科,四川营山637700

出　　处：《中外女性健康研究》2025年第1期171-173,共3页Women's Health Research

基　　金：【南充科技局】《MRI联合血清AFP、CK诊断植入型凶险性前置胎盘对术前应用子宫动脉栓塞术的价值研究》,编号:22YFZJZC0060。

摘　　要：目的:探讨核磁共振联合血清CK、AFP诊断对植入型凶险性前置胎盘术前应用子宫动脉栓塞术的价值。方法:选取2022年1月至2023年12月本院收治的90例凶险性前置胎盘患者,按照术后病理学诊断结果分为胎盘植入组(48例)和非胎盘植入组(42例),比较两组患者血清CK、AFP水平,并结合核磁共振联合血清CK、AFP水平,分别采取针对性的手术方式。比较核磁共振、血清学诊断及两者联合诊断相关指标。另选同期以常规剖宫产术、病理学诊断为凶险性前置胎盘患者48例为对照组,比较植入组和对照组术后不良事件的发生率。结果:植入组患者血清CK、AFP水平明显高于非植入组(P<0.05);核磁共振联合血清检查对植入型凶险性前置胎盘的敏感度、准确度、阴性预测值均明显高于单独核磁共振或血清学检查(P<0.05);植入组患者术后不良事件发生率明显低于对照组(P<0.05)。结论:核磁共振联合血清CK、AFP检查对于植入型凶险性前置胎盘的诊断具有一定价值,可结合评估情况,决定是否应用术前子宫动脉栓塞术,术后不良事件发生率低。Objective:Exploring the value of magnetic resonance imaging combined with serum CK and AFP in the preoperative application of uterine artery embolization in the diagnosis of invasive placenta previa.Methods:Select 120 patients with high-risk placenta previa admitted to our hospital from January 2022 to December 2023,and divide them into placental implantation group(48 cases)and non placental implantation group(42 cases)based on postoperative pathological diagnosis.Compare the serum CK and AFP levels of the two groups of patients,and combine magnetic resonance imaging with serum CK and AFP levels to adopt targeted surgical methods.Compare the relevant indicators of magnetic resonance imaging,serological diagnosis,and their combination diagnosis.Another 48 patients with high-risk placenta previa diagnosed by routine cesarean section and pathology during the same period were selected as the control group,and the incidence of postoperative complications was compared between the implantation group and the control group.Results:The serum CK and AFP levels in the implantation group were significantly higher than those in the non implantation group(P<0.05);The sensitivity,accuracy,and negative predictive value of magnetic resonance combined with serum examination for implantable placenta previa were significantly higher than those of magnetic resonance or serum examination alone(P<0.05);The incidence of postoperative complications in the implantation group was significantly lower than that in the control group(P<0.05).Conclusion:Magnetic resonance imaging combined with serum CK and AFP examination has certain value in the diagnosis of implantable and dangerous placenta previa.It can be combined with evaluation to determine whether to apply preoperative uterine artery embolization.The incidence of postoperative complications is low,and it is worth promoting.

关 键 词：核磁共振 肌酸激酶 甲胎蛋白 凶险性前置胎盘 子宫动脉栓塞术 

分 类 号：R714.46[医药卫生—妇产科学]