凶险型前置胎盘合并胎盘植入的产前超声诊断及临床意义分析
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摘要
目的研究探讨凶险型前置胎盘合并胎盘植入的产前超声诊断及临床意义。方法该实验于2017年1月—2018年6月在该院进行,以此时段内收治的80例凶险型前置胎盘合并胎盘植入患者为研究对象,对所有进行产前超声诊断患者的临床资料进行回顾性分析,探讨超神诊断的正确性、漏诊情况以及超神诊断的临床意义所在。结果产前超声诊断的正确率为93.75%,漏诊率为2.50%,误诊率为3.75%,和病理检查的结果没有较大的差异性,病理检查的正确率为95.00%,漏诊率为2.50%,误诊率为2.50%,差异无统计学意义(χ2=0.755,P=0.489;χ2=4.132,P=0.058;χ2=1.996,P=0.711)。结论对于凶险型前置胎盘合并胎盘植入的患者,进行产前超声诊断,有重要的临床意义和参考价值,可以重复进行诊断检查,减少产妇和胎儿的死亡率,提高诊断的正确性,值得在今后的治疗诊断中应用。
Objective To study the prenatal ultrasound diagnosis and clinical significance of sinister placenta previa combined with placenta implantation. Methods This experiment was conducted in our hospital from January 2017 to June 2018.80 patients with sinister placenta previa and placenta were admitted to this study. All patients underwent prenatal ultrasound diagnosis. The clinical data were retrospectively analyzed to investigate the correctness, missed diagnosis and clinical significance of the diagnosis of super-god. Results The correct rate of prenatal ultrasound diagnosis was 93.75%, the rate of missed diagnosis was 2.50%, and the rate of misdiagnosis was 3.75%. There was no significant difference between the results of pathological examination. The correct rate of pathological examination was 95.00%, and the rate of missed diagnosis was 2.50%, the misdiagnosis rate was 2.50%, which was not statistically significant.(χ2=0.755, P=0.489,χ2=4.132, P=0.058,χ2=1.996, P=0.711). Conclusion For patients with sinister placenta previa with placenta implantation, prenatal ultrasound diagnosis has important clinical significance and reference value. It can be repeated for diagnostic examination, reducing maternal and fetal mortality and improving the correctness of diagnosis. It is worthy of application in future treatment diagnosis.
Objective To study the prenatal ultrasound diagnosis and clinical significance of sinister placenta previa combined with placenta implantation. Methods This experiment was conducted in our hospital from January 2017 to June 2018.80 patients with sinister placenta previa and placenta were admitted to this study. All patients underwent prenatal ultrasound diagnosis. The clinical data were retrospectively analyzed to investigate the correctness, missed diagnosis and clinical significance of the diagnosis of super-god. Results The correct rate of prenatal ultrasound diagnosis was 93.75%, the rate of missed diagnosis was 2.50%, and the rate of misdiagnosis was 3.75%. There was no significant difference between the results of pathological examination. The correct rate of pathological examination was 95.00%, and the rate of missed diagnosis was 2.50%, the misdiagnosis rate was 2.50%, which was not statistically significant.(χ2=0.755, P=0.489,χ2=4.132, P=0.058,χ2=1.996, P=0.711). Conclusion For patients with sinister placenta previa with placenta implantation, prenatal ultrasound diagnosis has important clinical significance and reference value. It can be repeated for diagnostic examination, reducing maternal and fetal mortality and improving the correctness of diagnosis. It is worthy of application in future treatment diagnosis.
引文
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[8]曹艳花,徐彩临,蒋俊红.子宫前壁胎盘植入部位的子宫肌层切除并成形术在凶险型前置胎盘伴植入患者中的应用[J].吉林医学,2016,37(12):2928-2930.
[9]郭永平,杨冯,王晓静,等.前置胎盘伴胎盘植入剖宫产术中行子宫下段横行环状压迫缝合止血的效果[J].蚌埠医学院学报,2016,41(12):1647-1650+1654.
[10]李颖.彩色多普勒超声产前诊断凶险性前置胎盘合并胎盘植入的临床价值[J].中国妇幼保健,2016,31(23):5180-5183.
[2]汪莲,陈先侠.腹主动脉球囊应用于凶险性前置胎盘合并胎盘植入成功保留子宫手术1例[J].安徽医学,2017,38(12):1627-1628.
[3]夏宝真.腹主动脉球囊阻断术在凶险性前置胎盘合并胎盘植入剖宫产术中的应用效果分析[J].中国处方药,2017,15(12):128-129.
[4]王婷婷,史金凤,徐阳峰,等.双侧髂内动脉球囊预置术在凶险性前置胎盘合并胎盘植入治疗中的应用[J].浙江医学,2017,39(23):2152-2153+2157.
[5]廖姗姗,栗娜,刘彩霞,等.三维能量多普勒超声产前诊断凶险性前置胎盘合并胎盘植入价值研究[J].中国实用妇科与产科杂志,2017,33(12):1262-1266.
[6]吕静,宋耕,杨慧霞.腹主动脉球囊阻断术应用于凶险型前置胎盘并胎盘植入病例报道及文献复习[J].中国计划生育和妇产科,2016,8(12):10-12.
[7]罗友,廖林,王小红,等.超声与磁共振成像对凶险型前置胎盘伴胎盘植入的诊断比较[J].泸州医学院学报,2016,39(06):572-574.
[8]曹艳花,徐彩临,蒋俊红.子宫前壁胎盘植入部位的子宫肌层切除并成形术在凶险型前置胎盘伴植入患者中的应用[J].吉林医学,2016,37(12):2928-2930.
[9]郭永平,杨冯,王晓静,等.前置胎盘伴胎盘植入剖宫产术中行子宫下段横行环状压迫缝合止血的效果[J].蚌埠医学院学报,2016,41(12):1647-1650+1654.
[10]李颖.彩色多普勒超声产前诊断凶险性前置胎盘合并胎盘植入的临床价值[J].中国妇幼保健,2016,31(23):5180-5183.