影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (2): 339-343.DOI: 10.7517/issn.1674-0475.190928

• 综述与论文 • 上一篇    下一篇

经腹联合经阴道彩超在评估凶险型前置胎盘合并胎盘植入中的应用价值

王佳丽, 胡剑, 杨帆, 姜雅琼, 李丽   

  1. 恩施土家族苗族自治州中心医院 超声科, 湖北 恩施 445000
  • 收稿日期:2019-09-25 出版日期:2020-03-15 发布日期:2020-03-15
  • 基金资助:
     

The Value of Transabdominal Combined Transvaginal Color Doppler Ultrasonography in Evaluating the Pernicious Placenta Previa Complicated Placenta Implantation

WANG Jiali, HU Jian, YANG Fan, JIANG Yaqiong, LI Li   

  1. Department of Ultrasound, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei, P. R. China
  • Received:2019-09-25 Online:2020-03-15 Published:2020-03-15
  • Supported by:
     

摘要: 本文对经腹联合经阴道彩超在评估凶险型前置胎盘(PPP)合并胎盘植入中的应用价值进行了探讨。选取我院2017年6月~2019年6月PPP患者172例,所有患者均给予经腹彩超、经阴道彩超检查,以产后病理结果为对照,分析经腹彩超、经阴道彩超,以及二者联合,对PPP合并胎盘植入的评估价值。产后病理结果显示,172例PPP患者中,有合并胎盘植入患者120例(69.77%)、无合并胎盘植入患者52例(30.23%)。对PPP合并胎盘植入的敏感度、特异度、准确度进行评估,结果显示,经腹彩超其值分别为76.67%、73.08%、75.58%,经阴道彩超分别为83.33%、80.77%、82.56%,经腹联合经阴道彩超则分别为96.67%、96.15%、96.51%,二者联合明显高于经腹彩超、经阴道彩超,差异有统计学意义(P<0.05)。证实经腹、经阴道彩超是评估PPP合并胎盘植入的有效检查方法,且二者联合的评估价值更高,值得临床推广。

 

关键词: 经腹, 经阴道, 彩色多普勒超声, 评估, 凶险型前置胎盘, 胎盘植入

Abstract: The value of transabdominal combined transvaginal color Doppler ultrasonography in evaluating the pernicious placenta previa (PPP) complicated placenta implantation was analyzed in this study. 172 patients with PPP from June 2017 to June 2019 were selected as the subjects of this study, all patients were examined by transabdominal and transvaginal color Doppler ultrasonography. The evaluation value of transabdominal and transvaginal color Doppler ultrasonography and their combination to PPP complicated placenta implantation was analyzed. The postpartum pathological results showed that among 172 patients with PPP, 120 patients (69.77%) were complicated placenta implantation, and 52 patients (30.23%) were not omplicated placenta implantation. In the sensitivity, specificity and accuracy of evaluating the PPP complicated placenta implantation, the transabdominal color Doppler ultrasonography were 76.67%, 73.08% and 75.58%, the transvaginal color Doppler ultrasonography were 83.33%, 80.77% and 82.56%, the transabdominal combined transvaginal color Doppler ultrasonography were 96.67%, 96.15% and 96.51%, the transabdominal combined transvaginal color Doppler ultrasonography were significantly higher than the transabdominal and transvaginal color Doppler ultrasonography, the difference was statistically significant (P<0.05). This study confirms that, Transabdominal and transvaginal color Doppler ultrasonography are the effective methods for evaluating the PPP complicated placenta implantation, and their combined evaluation value is higher, it's worth for further clinical promotion.

Key words: transabdominal, transvaginal, color Doppler ultrasonography, evaluate, pernicious placenta previa(PPP), placenta implantation

中图分类号: