摘要
目的探讨孕中期超声诊断帆状胎盘的价值。方法选自我院于2014年6月~2016年12月期间20 371例孕妇分娩,应用美国GEE8彩色多普勒B超诊断仪,对孕产妇常规检查,取平卧位,根据产科检查依次检测双顶径、头围、腹围和股骨长,进行常规超声测量,同时检查羊水和胎盘。结果本组20 371例孕妇分娩中,帆状胎盘孕妇27例、非帆状胎盘孕妇20 344例。根据是否为帆状胎盘分为帆状胎盘组和非帆状胎盘组;两组平均年龄、平均孕周及产妇类型比较无统计学差异(P>0.05);帆状胎盘组多肽和前置胎盘发生率明显高于非帆状胎盘组,均有统计学差异(P<0.05);帆状胎盘组宫内死胎和围生儿死亡率高于非帆状胎盘组,均有统计学差异(P<0.05);27例患者超声诊断漏诊2例、误诊1例、符合24例,诊断符合率为88.89%。结论孕中期采用彩色多普勒B超诊断是帆状胎盘诊断的有效方法,具有简便、准确率高、安全特点,可为临床诊断治疗提供可靠参考依据。
Objective：To investigate the value of ultrasound diagnosis of placenta in the second trimester of pregnancy. Methods：From our hospital in June 2014 ～ December 2016 year 20371 cases of pregnant women,using United States GEE8 color Doppler ultrasound diagnostic instrument,biparietal diameter,head circumference,followed by detection of abdominal circumference and femur length were measured at the same time,conventional ultrasound,amniotic fluid and placenta examination. Results：In the 20344 cases of pregnant women,pregnant women with placental type and 27 cases with non-sail-like placenta were delivered in the same period in 20371 cases. According to whether the velamentous placenta consists of velamentous placenta group and non velamentous placenta group;no significant differences between the two groups in mean age,mean gestational age and maternal type（P〈0.05）;group of velamentous placenta polypeptide and the placenta previa incidence was significantly higher than that of velamentous placenta group had statistical difference（P〈0.05）;velamentous placenta group intrauterine stillbirth and perinatal mortality is higher than that of velamentous placenta group had significant difference（P〈0.05）;27 cases of patients with ultrasound diagnosis of 2 cases of misdiagnosis,misdiagnosis in 1 cases,with 24 cases,the diagnosis coincidence rate was 72.34%. Conclusion：The color Doppler ultrasound diagnosis in the second trimester is an effective method for the diagnosis of the placenta,which is simple,accurate and safe,and can provide a reliable reference for clinical diagnosis and treatment.
作者
赵花碧
HAO Hua-bi(Yiwu Maternal And Child Health Care And Family Planning Service Center, Zhejiang Yiwu 32200)
出处
《中国优生与遗传杂志》
2017年第4期120-121,128,共3页
Chinese Journal of Birth Health & Heredity
关键词
孕中期
超声
帆状胎盘
The second trimester
Ultrasound
Placenta
