摘要
目的:探讨彩色多普勒超声检查在诊断胎盘早剥妊娠妇女中的应用价值。方法:回顾性分析2016年1月-2019年3月笔者所在医院62例胎盘早剥妊娠妇女的临床资料,所有患者产前均进行过彩色多普勒超声检查。根据产后病理结果将胎盘早剥分为三个等级,其中轻度16例、中度21例、重度25例。比较不同程度等级胎盘早剥超声诊断符合率和超声图像表现,不同程度超声诊断符合患者分娩后Apgar评分和胎儿病死率。结果:62例胎盘早剥妊娠患者经彩色多普勒超声检查共诊断出56例,诊断符合率为90.32%;不同程度等级胎盘早剥超声诊断符合率比较差异有统计学意义(P<0.05),其中重度胎盘早剥的诊断符合率为100%,明显高于轻度的75.00%(P<0.05)。不同程度等级胎盘早剥患者的超声图像在胎盘后血肿、混合型包块和无明显异常所占比例比较,差异有统计学意义(P<0.05)。疾病程度越严重,患者Apgar评分越低,胎儿病死率越高,不同程度等级胎盘早剥超声诊断符合患者间的Apgar评分和胎儿病死率比较,差异有统计学意义(P<0.05)。结论:彩色多普勒超声检查对胎盘早剥具有较高的诊断符合率,尤其对重度胎盘早剥妊娠妇女具有较高的诊断价值,对提高母婴存活率有重要意义。
Objective:To explore the value of color Doppler ultrasonography in the diagnosis of pregnant women with placental abruption.Method:Retrospective analysis of clinical data of 62 women with placental abruption pregnancy from January 2016 to March 2019.All patients underwent color Doppler ultrasonography before delivery.According to postpartum pathological results,placental abruption was divided into three grades,including 16 mild cases,21 moderate cases,and 25 severe cases.The coincidence rate and ultrasound imaging of different degrees of placental abruption were compared.The ultrasound diagnosis of different degrees was consistent with the Apgar score and fetal mortality after delivery.Result:A total of 56 patients with placental abruption were diagnosed by color Doppler ultrasonography among the 62 cases,the diagnostic coincidence rate was 90.32%.There was a significant difference in the coincidence rate of ultrasound diagnosis of placental abruption at different grades(P<0.05).The diagnostic coincidence rate of severe placental abruption was 100%,significantly higher than the mild of 75.00%(P<0.05).Ultrasound images of patients with different degrees of placental abruption had significant differences in the proportion of post-placental hematoma,mixed mass and no obvious abnormalities(P<0.05).The more severe the disease,the lower the Apgar score of the patient and the higher the fetal mortality rate,there were significant differences in Apgar score and fetal mortality among patients with different levels of placental abruption(P<0.05).Conclusion:Color Doppler ultrasonography has a high diagnostic coincidence rate for placental abruption,especially for women with severe placental abruption pregnancy,which is of great significance for improving maternal and child survival rate.
作者
郭艳嫦
雷伟玲
黄燕
刘晓雯
GUO Yanchang;LEI Weiling;HUANG Yan;LIU Xiaowen(Qingyuan Maternal and Child Health Hospital,Qingyuan 511500,China;不详)
出处
《中外医学研究》
2020年第22期76-78,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胎盘早剥
彩色多普勒超声
诊断价值
Placental abruption
Color Doppler ultrasound
Diagnostic value
