摘要
目的分析产前检查在妊娠晚期胎盘早剥中的临床诊断意义,为临床提供更为安全有效的检查方法。方法选取2017年3月~2018年5月在北京太和妇产医院进行产前检查的妊娠晚期患者120例,回顾性分析上述患者的检查资料,并随访3个月,记录最终胎盘早剥情况。以随访结果为参考标准,对比产前检查与随访发现的胎盘早剥诊断情况、胎盘早剥分度情况以及胎盘早剥患者的主要临床表现。结果随访结果证实胎盘早剥20例(Ⅰ度7例、Ⅱ度12例、Ⅲ度1例),其中经过B超诊断16例,其他检查方式诊断4例;同时,其主要临床表现为胎心改变2例、腹痛4例、血性羊水6例、阴道流血8例。产前检查发现胎盘早剥18例,(Ⅰ度6例、Ⅱ度11例、Ⅲ度1例),其中经过B超诊断15例,其他检查方式诊断3例;同时,其主要临床表现为胎心改变2例、腹痛4例、血性羊水5例、阴道流血7例。经过统计学分析发现,产前检查的诊断准确率、胎盘早剥分度情况与随访结果和胎盘早剥者的主要临床表现相比,其差异无统计学意义(P>0.05)。结论产前检查可以为胎盘早剥提供较为准确的依据,值得在临床上推广和应用,但也存在一定的缺陷,因此需要综合分析患者的临床表现和各项检查结果,对胎盘早剥进行准确的诊断,有利于临床尽早采取有效的治疗措施。
Objective To analyze the clinical significance of prenatal examination in the diagnosis of placental abruption in the third trimester of pregnancy,so as to provide a more safe and effective method for clinical examination.Methods 120 patients with late pregnancy who underwent prenatal examination in Taihe Maternity Hospital from March 2017 to May 2018 were selected.The examination data of these patients were retrospectively analyzed and followed up for 3 months to record the final abruption of placenta.With the follow-up results as the reference standard,the diagnosis of placental abruption,the grading of placental abruption and the main clinical manifestations of patients with placental abruption were compared between prenatal examination and follow-up.Results Follow-up results confirmed 20 cases of placental abruption(7 cases of grade I,12 cases of grade II and 1 case of grade III).Among them,16 cases were diagnosed by B-mode ultrasonography and 4 cases were diagnosed by other examinations.At the same time,the main clinical manifestations were fetal heart change in 2 cases,abdominal pain in 4 cases,blood amniotic fluid in 6 cases and vaginal bleeding in 8 cases.Prenatal examination revealed 18 cases of placental abruption(6 cases of grade I,11 cases of grade II and 1 case of grade III).Among them,15 cases were diagnosed by B-mode ultrasonography and 3 cases were diagnosed by other examinations.At the same time,the main clinical manifestations were fetal heart change in 2 cases,abdominal pain in 4 cases,bloody amniotic fluid in 5 cases and vaginal bleeding in 7 cases.Statistical analysis showed that the diagnostic accuracy of prenatal examination and the grading of placental abruption had no statistically significant differences compared with the follow-up results and the main clinical manifestations of placental abruption(P>0.05).Conclusions Prenatal examination can provide a more accurate basis for placental abruption.It is worth popularizing and applying widely in clinic,but it also has some shortcomings.Therefore,it is necessary to comprehensively analyze the clinical manifestations and the results of various examinations to make an accurate diagnosis of placental abruption,which is conducive to taking effective treatment measures as soon as possible in clinic.
作者
孙婷
许永红
SUN Ting;XU Yonghong(Department of Ultrasound,Taihe Maternity Hospital,Beijing 100143,China)
出处
《中国性科学》
2019年第8期56-59,共4页
Chinese Journal of Human Sexuality
关键词
产前检查
诊断
胎盘早剥
妊娠晚期
临床效果
Prenatal examination
Diagnosis
Placental abruption
Late pregnancy
Clinical effect
