摘要
本文研究了经腹部超声联合核磁共振成像(MRI)对凶险型前置胎盘(PPP)的诊断价值及对母婴结局的影响。选取270例疑似PPP患者为研究对象,在妊娠32~34周时分别进行经腹部超声和MRI检查,比较经腹部超声、MRI和两种方法联合诊断的准确性。联合组对PPP的检出率显著高于经腹部超声组以及经MRI检查组(P<0.05)。联合诊断的各分型符合率和总准确率均高于超声组及MRI检查组。三组的分娩方式存在显著性差异(P<0.05),但手术处理方式及输血量比较差异无显著性(P>0.05)。联合组与超声组和MRI组相比,产妇大出血及休克发生率存在显著性差异(P<0.05),但早产、新生儿窒息发生率虽联合组低于超声组及MRI组,差异并无显著性(P>0.05)。本文结果证实经腹超声联合MRI检查有助于提高PPP的检出率,有利于改善妊娠及母婴结局。
The diagnostic effects of transabdominal ultrasound combined with magnetic resonance imaging(MRI)on patients of pernicious placenta previa were analyzed in this study.270 patients with PPP were selected as subjects.The effects of transabdominal ultrasound,MRI and the combined diagnosis were compared.The detection rate of combined group was significantly higher than that of transabdominal ultrasound group and MRI group(P<0.05).The coincidence rate and overall accuracy of the combined diagnosis were higher than those of the ultrasound and MRI groups.There were significant differences in the delivery methods of the groups(P<0.05),but there were no significant differences in the surgical treatment methods and the amount of blood transfusion(P>0.05).Compared with the ultrasound group and the MRI group,the incidence rates of hematorrhea and shock in the combined group was significantly different(P<0.05),but the rates of premature delivery and neonatal asphyxia were lower in the combined group than in the other groups(P>0.05).In conclusion,transabdominal ultrasound combined with MRI can improve the detection rate of PPP and improve pregnancy outcome.
作者
韩煜雯
郑艳莉
陈丽平
鲁晓燕
韩云
尤珺
张忠新
HAN Yuwen;ZHENG Yanli;CHEN Liping;LU Xiaoyan;HAN Yun;YOU Jun;ZHANG Zhongxin(Department of Obstetrics and Gynecology,Nantong First People’s Hospital,Nantong 226000,Jiangxi,P.R.China;Department of Ultrasound,Nantong First People’s Hospital,Nantong 226000,Jiangxi,P.R.China)
出处
《影像科学与光化学》
CAS
2020年第4期657-661,共5页
Imaging Science and Photochemistry
基金
南通市卫生和计划生育委员会科研课题(WKZD2018002)
江苏省妇幼健康重点人才依托课题资助。
关键词
经腹超声
核磁共振成像
凶险型前置胎盘
母婴结局
transabdominal ultrasound
MRI
dangerous placenta previa
maternal and infant outcome
