彩色多普勒超声诊断胎盘早剥的临床价值  

The clinical application value of color Doppler ultrasonography in abruption placentae

作　　者：邹正霖[1] 冯敏[1] 邢文静[1] 王泽珕 

机构地区：[1]四川省泸州市人民医院,四川646000

出　　处：《世界最新医学信息文摘》2015年第4期67-68,共2页World Latest Medicine Information Electronic Version

摘　　要：目的:探讨彩色多普勒超声诊断胎盘早剥的临床价值。方法:收集我院2010年2月至2013年12月收治并经临床确诊为胎盘早剥的38例患者的彩色多普勒超声诊断结果进行回顾性分析,其中35例患者彩色多普勒超声诊断为胎盘早剥,其超声表现为胎盘增厚;胎盘后血肿;胎盘与子宫壁之间分离,超声诊断符合率为92.1%(35/38),漏诊3例,超声检查未见异常,主要是后壁胎盘、胎盘边缘剥离早期及患者肥胖等原因造成漏诊,漏诊率为7.9%(3/38)。结论:彩色多普勒超声诊断胎盘早剥准确率高,及时、简单易行、无创、可重复性强,便于随访观察病情变化,其诊断结果对临床治疗具有重要的指导作用,值得临床应用和推广,是临床诊断胎盘早剥的首选检查方法。Objective: To investigate the clinical value of color doppler ultrasound in the diagnosis of placental abruption.Method: 38 cases color doppler ultrasound diagnosis results of placental abruption were diagnosed by clinical in our hospital from2010 February to 2013 December were retrospectively analyzed,35 patients were diagnosed as placental abruption,the ultrasound showed the placenta thickening; retroplacental hematoma; separation between the placenta and uterine wall; The accurate rate of ultrasound diagnosis was 92. 1%( 35 /38),3 cases were missed diagnosis,ultrasound showed no abnormalities,Mainly the placenta in the rear wall,the early stage of placental edge delamination and obesity caused missed diagnosis,the rate was 7. 9%( 3 /38). Conclusion: The color doppler ultrasound in the diagnosis of placental abruption is accurate,timely,simple,noninvasive,and highly reproducible,convenient for observation of the disease changes,The diagnosis result plays an important role in guiding clinical treatment,and worth spreading clinically,It is the first choice for clinical diagnosis of placental abruption.

关 键 词：彩色多普勒超声 胎盘早剥 临床价值 

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]