世界复合医学2024,Vol.10Issue(3) :91-93,104.DOI:10.11966/j.issn.2095-994X.2024.10.03.23

产前超声结合磁共振成像技术对胎盘植入诊断的价值

Value of Prenatal Ultrasound Combined with Magnetic Resonance Imaging in the Diagnosis of Placental Implantation

陈军 韩涵 黄娟娟
世界复合医学2024,Vol.10Issue(3) :91-93,104.DOI:10.11966/j.issn.2095-994X.2024.10.03.23

产前超声结合磁共振成像技术对胎盘植入诊断的价值

Value of Prenatal Ultrasound Combined with Magnetic Resonance Imaging in the Diagnosis of Placental Implantation

陈军 1韩涵 1黄娟娟1
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作者信息

  • 1. 南京鼓楼医院集团宿迁医院超声科,江苏宿迁 223800
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摘要

目的 分析在胎盘植入产前诊断中超声联合磁共振的应用效果.方法 便利选取2020年3月—2023年5月南京鼓楼医院集团宿迁医院收治的106例疑似胎盘植入妊娠者为研究对象,均给予超声及磁共振检查,经临床或病理证实孕期检查的准确性,统计分析两种检查方法及联合检查的诊断效能.结果 106例疑似胎盘植入患者中经临床或病理诊断阳性48例,阴性58例.超声联合磁共振诊断阳性45例,阴性61例.超声联合磁共振的诊断准确度为95.3%(101/106)、灵敏度为91.7%(44/48)、特异度为98.3%(57/58)、阳性预测值为97.8%(44/45)、阴性预测值为93.4%(57/61),明显高于单一超声或磁共振诊断,差异有统计学意义(P均<0.05).结论 针对胎盘植入患者,在产前诊断中超声联合磁共振检查的应用价值较高.

Abstract

Objective To analyze the effect of prenatal ultrasound combined with magnetic resonance imag-ing in the prenatal diagnosis of placenta implantation.Methods A total of 106 suspected placenta implantation pregnancies admitted to Nanjing Gulou Hospital Group Suqian Hospital from March 2020 to May 2023 were conveniently selected as the study objects.All of them were given ultrasound and magnetic resonance imaging.The accuracy of the prenatal examination was confirmed by clinical or pathological analysis,and the diagnostic efficacy of the two examination methods and the combined examination was analyzed statistically.Results Forty-eight of the 106 patients suspected of placenta implantation were positive and 58 were negative.The re-sults of ultrasound combined with magnetic resonance imaging were positive in 45 cases and negative in 61 cases.The diagnostic accuracy of ultrasound combined with magnetic resonance imaging was 95.3%(101/106),sensitivity was 91.7%(44/48),specificity was 98.3%(57/58),positive predictive value was 97.8%(44/45)and negative predictive value was 93.4%(57/61),which were significantly higher than single ultrasound and mag-netic resonance imaging diagnosis,and the differences were statistically significant(all P<0.05).Conclusion For patients with placenta implantation,prenatal ultrasound combined with magnetic resonance imaging is of high value in prenatal diagnosis.

关键词

前置胎盘/超声/磁共振

Key words

Placenta previa/Ultrasound/Magnetic resonance

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出版年

2024
世界复合医学

世界复合医学

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