超声诊断子宫瘢痕部位胎盘植入的应用价值

发布时间：2018-02-23 17:28

本文关键词： 胎盘植入剖宫产瘢痕部位产前超声　出处：《中国现代医学杂志》2017年17期 　论文类型：期刊论文

【摘要】：目的探讨超声诊断子宫疤痕部位胎盘植入的应用价值。方法选取2013年1月-2016年6月本院经临床证实为剖宫产瘢痕部位胎盘植入患者13例作为研究对象,回顾性分析临床资料。结果该组13例患者均经术后病理证实为子宫瘢痕部位胎盘植入,产前单纯经腹超声提示胎盘植入10例,合并前置胎盘9例,漏诊3例,超声诊断符合率为76.9%;经腹联合经会阴超声检查提示胎盘植入12例,合并前置胎盘12例,漏诊1例,超声诊断符合率为92.3%。结论超声在子宫瘢痕部位胎盘植入诊断中具有较高的符合率,其中经腹联合经会阴检查诊断符合率高于单纯经腹检查,对于于经腹超声检查阴性而临床可疑胎盘植入患者,应经腹联合经会阴超声检查,可为临床诊治胎盘植入提供重要依据。
[Abstract]:Objective to evaluate the value of ultrasound in the diagnosis of placenta accreta in scar area of uterus. Methods from January 2013 to June 2016, 13 patients with placenta accreta in scar site of cesarean section were selected. Results all the 13 patients were confirmed by pathology to be placenta accreta of uterine scar, 10 cases of placenta accreta were revealed by transabdominal ultrasound, 9 cases were complicated with placenta previa, 3 cases were missed diagnosis. The coincidence rate of ultrasonic diagnosis was 76.9.The transabdominal and transperineal ultrasonography showed placenta accreta in 12 cases, placenta previa in 12 cases, missed diagnosis in 1 case. Conclusion Ultrasound has a higher coincidence rate in the diagnosis of placenta accreta in uterine scar, and the diagnostic coincidence rate of transabdominal combined transperineal examination is higher than that of simple transabdominal examination. For patients with suspected placenta accreta, transabdominal ultrasonography should be combined with transperineal ultrasonography, which can provide important basis for clinical diagnosis and treatment of placenta accreta.
【作者单位】：广西医科大学附属南宁市第一人民医院超声科;广西医科大学附属南宁市第一人民医院产科;
【基金】：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(No:Z2015266)
【分类号】：R445.1;R714.2

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