超声造影和常规超声在诊断产后胎盘植入的对比研究

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英文篇名：Comparison of Contrast-Enhanced Ultrasound and Conventional Ultrasound in the Diagnosis of Postpartum Placental Implantation 作者：马静丽 ; 李丽华 ; 王莎莎 ; 朱贤胜 ; 陈媚聪 英文作者：Ma Jingli;Li Lihua;Wang Shasha;Zhu Xiansheng;Chen Meicong;Departmen of Ultrasound,Guangzhou General Hospital of Guangzhou Military Command; 关键词：超声造影 ; 胎盘植入 ; 产后 ; 诊断 英文关键词：Ultrasonography;;Contrast-enhanced ultrasonography;;Placental implantation;;Disgnosis 中文刊名：ZGCY 英文刊名：Chinese Journal of Ultrasound in Medicine 机构：广州军区广州总医院超声影像科; 出版日期：2019-03-16 出版单位：中国超声医学杂志 年：2019 期：v.35;No.341 语种：中文; 页：ZGCY201903022 页数：3 CN：03 ISSN：11-2110/R 分类号：77-79

摘要

目的探讨超声造影诊断产后胎盘植入的临床价值。方法将44例临床诊断产后胎盘植入的患者,行常规超声和超声造影检查,对比两者的准确度,总结超声造影声像图特征。结果 44例患者中,超声造影诊断胎盘粘连13例,胎盘植入29例,误诊2例。常规超声显示胎盘粘连14例,胎盘植入22例,诊断不明确8例,误诊7例。临床诊断或病理结果显示胎盘粘连13例,胎盘植入31例。超声造影诊断准确度95.4%,常规超声准确度65.9%,两者差别有统计学意义(P<0.01)。结论超声造影对产后胎盘植入的诊断优于常规超声,能准确判断胎盘植入的位置及肌层侵入情况,更好地指导临床。
        Objective To summarize the sonogram features of contrast-enhanced ultrasonography on the diagnosis of postpartum placental implantation.Methods 44 cases of clinically suspected placenta implantation patients were underwent conventional ultrasound and contrast-enhanced ultrasonography,compared with the clinical diagnosis or pathological results.The diagnostic accuracy of them was evaluated.Results The contrast-enhanced ultrasonography results showed that 13 patients of placenta adhesions,29 patients of postpartum placental implantation,2 patients misdiagnosised with blood clots by contrast-enhanced ultrasonography.And13 patients of placenta adhesions,31 patients of postpartum placental implantation with the clinical diagnosis or pathological results.While in conventional ultrasound results,14 patients of placenta adhesions,22 patients of postpartum placental implantation.The diagnostic accuracy of placenta implantation by Contrast-enhanced ultrasonography was 95.4%,however the conventional ultrasound was 65.9%,the difference between them was statistically significant(P<0.01).Conclusions The value of Contrastenhanced ultrasonography for postpartum placental implantation is higher than conventional ultrasound.It could determine the location and muscle invasion more clear,then to guide the clinical treatment better.

引文

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