摘要
目的探究重型胎盘早剥的彩色多普勒超声表现。方法选择安徽省阜阳市妇幼保健院2019年4月至2021年2月接诊的238例疑似胎盘早剥患者作为研究对象,于其入院后24 h内行彩色多普勒超声检查,记录患者的病理诊断结果及超声表现,比较病理学及彩色多普勒超声对重型胎盘早剥的诊断结果。结果经彩色多普勒超声诊断为重型胎盘早剥15例,其中3例子宫壁与胎盘间可见无回声液体暗区且性状不规则;5例胎盘与子宫壁间表现出与胎盘相似的实性回声,血中组织与胎盘分界不清;4例子宫壁与胎盘间有杂乱回声团且存在性状不规则的液性暗区;2例胎盘边缘后方可见高回声团且无血流信号;1例子宫壁与胎盘间无异常回声,但胎盘附着点外的其他部位可见无血流信号的高回声团。彩色多普勒超声检测重型胎盘早剥15例中经病理学证实重型胎盘早剥9例。彩色多普勒超声诊断重型胎盘早剥的灵敏度、特异度分别为81.82%、97.36%,彩色多普勒超声对重度胎盘早剥的诊断与病理诊断具有高度一致性(Kappa=0.675,P<0.05)。结论彩色多普勒超声诊断可为临床诊断重度胎盘早剥提供超声数据参考,与病理结果具有高度一致性,值得临床推广。
Objective To explore the appearance of color Doppler ultrasonography in severe placental abruption.Methods A total of 238 patients with suspected placental abruption admitted to Women and Children’s Hospital of Fuyang City,Anhui Province from April 2019 to February 2021 were selected as the study subjects.Color Doppler ultrasonography was performed within 24 h after admission,the pathological diagnosis and ultrasonic manifestations of the patients were recorded,and the diagnosis results of severe placental abruption by pathology and color Doppler ultrasonography were compared.Results Fifteen cases of severe placental abruption were diagnosed by color Doppler ultrasonography,of which three cases had irregular anechoic fluid dark area between uterine wall and placenta.In five cases,the solid echo between placenta and uterine wall was similar to that of placenta,and the boundary between tissue and placenta was not clear.In four cases,there were disorderly echo masses and irregular fluid dark area between uterine wall and placenta.In two cases,hyperechoic mass and no blood flow signal were observed behind the placental margin.There was no abnormal echo between uterine wall and placenta in one case,but high echo mass without blood flow signal could be seen in other parts of placenta outside the attachment point.Among the 15 cases of severe placental abruption detected by color Doppler ultrasonography,nine cases were pathologically confirmed as severe placental abruption.The sensitivity and specificity of color Doppler ultrasound in the diagnosis of severe placental abruption were 81.82% and 97.36%,respectively.The diagnosis of severe placental abruption by color Doppler ultrasound was highly consistent with pathological diagnosis(Kappa=0.675,P<0.05).Conclusion Color Doppler ultrasonography can provide ultrasound data reference for clinical diagnosis of severe placental abruption,which is highly consistent with pathological results and worthy of clinical promotion.
作者
王玲玲
田亚娜
杨姝娇
WANG Lingling;TIAN Yana;YANG Shujiao(Department of Ultrasound,Women and Children’s Hospital of Fuyang City,Anhui Province,Fuyang 236200,China)
出处
《中国医药导报》
CAS
2022年第10期155-158,共4页
China Medical Herald
基金
安徽省自然科学基金项目(1908085QH381)。
关键词
重型胎盘早剥
彩色多普勒超声
超声表现
诊断
Severe placental abruption
Color Doppler ultrasound
Ultrasound appearance
Diagnosis
