摘要
目的探讨在瘢痕子宫合并前置胎盘的临床诊断中经腹壁超声联合会阴超声的使用对检出率、前置胎盘分型及母婴结局的影响。方法选取2015年8月至2020年8月鹤壁市人民医院收治的240例瘢痕子宫合并前置胎盘孕妇作为研究对象,按治疗方法不同分组将孕妇分为三组,分别命名为经腹壁超声组(N=80)、经会阴超声组(N=80)、联合检查组(N=80),对三组检出率、前置胎盘分型诊断及母婴结局进行对比。结果与经腹壁超声组、经会阴超声组相比,联合检查组检出率更高,差异有统计学意义(P<0.001);联合检查组前置胎盘分型诊断准确率与经腹壁超声组、经会阴超声组相比更高,差异有统计学意义(P<0.001);与经腹壁超声组、经会阴超声组相比,联合检查组产妇休克、早产、新生儿窒息发生率更低,差异有统计学意义(P<0.05),产妇出血量更少,差异有统计学意义(P<0.001)。结论对于瘢痕子宫合并前置胎盘孕妇的临床诊断中,经腹壁+经会阴超声联合检查的方式具有更高的检测准确率,能够更好预防各种突发情况的出现,对保障母婴安全而言效果更优。
Objective To investigate the effect of transabdominal ultrasonography combined with transvaginal ultrasonography on the detection rate,placenta previa classification and maternal and infant outcomes in the clinical diagnosis of scarred uterus complicated with placenta previa.Methods A total of 240 pregnant women with scarred uterus and placenta previa who were treated in Hebi People’s Hospital from August 2015 to August 2020 were selected as the research subjects.According to the treatment method,the pregnant women were divided into three groups,named as transabdominal ultrasound group(N=80),transperineal ultrasound group(N=80),combined examination group(N=80).The detection rate,diagnosis of placenta previa,and maternal and infant outcomes were compared among the three groups.Results Compared with the transabdominal ultrasound group and the transperineal ultrasound group,the detection rate of the combined examination group was significantly higher(P<0.001).Compared with the transabdominal ultrasound group and the transperineal ultrasound group,the diagnostic accuracy of placenta previa typing in the combined examination group was higher(P<0.001).Compared with the transabdominal ultrasound group and the transperineal ultrasound group,the combined examination group had lower incidences of maternal shock,premature birth,and neonatal asphyxia(P<0.05),and less maternal bleeding(P<0.001).Conclusion For the clinical diagnosis of pregnant women with scarred uterus and placenta previa,the combined method of transabdominal and transperineal ultrasonography has a higher detection accuracy,can better prevent the emergence of various emergencies,and is of great importance for ensuring the safety of mothers and babies.
作者
郭亚菲
GUO Yafei(Department of Ultrasound,Hebi People’s Hospital,Hebi Henan 458000,China)
出处
《临床研究》
2022年第8期143-146,共4页
Clinical Research
关键词
经腹壁超声
经会阴超声
瘢痕子宫
前置胎盘
母婴结局
transabdominal ultrasound
transperineal ultrasound
scarred uterus
placenta previa
maternal and infant outcomes
作者简介
郭亚菲(1989-),女,汉族,河南鹤壁人,主治医师,本科。研究方向:超声波医学。
