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胎盘植入的产前超声诊断及临床应用

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目的探讨产前超声检查在胎盘植入的产前诊断及预测预后方面的价值。方法对78例在产科住院分娩或行剖宫产、且产后由临床诊断和病理证实为胎盘植入的产前超声检查声像图进行回顾性分析,研究胎盘的声像图特征,由胎盘的位置比较其产前检出率。结果前置胎盘组的检出率高于对照组,胎盘前壁组的检出率高于对照组,差异均有统计学意义。结论产前超声检查检出前置胎盘及胎盘位于子宫前壁时有利于胎盘植入的产前诊断。结合其他超声声像图特征,并分析胎盘植入的临床危险因素能有效预测其临床预后,降低并发症的发生,具有重要的临床意义。
The Prenatal Ultrasonic Diagnosis and Clinical Application of Placenta Accreta
Objective To study the value of prenatal ultrasonic testing in prenatal diagnosis and forecast of clinical outcomes of placenta accreta. Methods By analysing retrospectively of ultrasonographic characteristics Of 78 cases ,who deliveried or cesarean birth during hospitalized in obstetric, and had been confirmed for placenta increta by clinical diagnosis and pathological postpartum, to comparing the prenatal detection rate by the location of the placenta. Results The detection rate of placenta previa group is higher than the control group, there were significant differences, the detection rate of anterior wall group was higher than the control group, there were significant differences. It has statistically significant. Conclusion The placenta previa and placenta in the anterior wall of uterus detected by prenatal ultrasound is helpful to the prenatal diagnosis of placenta increta. Combining with other ultrasonographic features, and analysing of the clinical risk factors of placenta increta can effectively predict the clinical prognosis and reducing the arising of series complications, has important clinical significance.

Placenta incretaUltrasound diagnosisPrenatal diagnosis

谢文杰

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519000 广东省珠海市妇幼保健院超声科

胎盘植入 超声诊断 产前诊断

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(12)
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