本文關(guān)鍵詞： 胎盤(pán)植入 剖宮產(chǎn)瘢痕部位 產(chǎn)前超聲　出處：《中國(guó)現(xiàn)代醫(yī)學(xué)雜志》2017年17期 　論文類(lèi)型：期刊論文

【摘要】：目的探討超聲診斷子宮疤痕部位胎盤(pán)植入的應(yīng)用價(jià)值。方法選取2013年1月-2016年6月本院經(jīng)臨床證實(shí)為剖宮產(chǎn)瘢痕部位胎盤(pán)植入患者13例作為研究對(duì)象,回顧性分析臨床資料。結(jié)果該組13例患者均經(jīng)術(shù)后病理證實(shí)為子宮瘢痕部位胎盤(pán)植入,產(chǎn)前單純經(jīng)腹超聲提示胎盤(pán)植入10例,合并前置胎盤(pán)9例,漏診3例,超聲診斷符合率為76.9%;經(jīng)腹聯(lián)合經(jīng)會(huì)陰超聲檢查提示胎盤(pán)植入12例,合并前置胎盤(pán)12例,漏診1例,超聲診斷符合率為92.3%。結(jié)論超聲在子宮瘢痕部位胎盤(pán)植入診斷中具有較高的符合率,其中經(jīng)腹聯(lián)合經(jīng)會(huì)陰檢查診斷符合率高于單純經(jīng)腹檢查,對(duì)于于經(jīng)腹超聲檢查陰性而臨床可疑胎盤(pán)植入患者,應(yīng)經(jīng)腹聯(lián)合經(jīng)會(huì)陰超聲檢查,可為臨床診治胎盤(pán)植入提供重要依據(jù)。
[Abstract]:Objective to evaluate the value of ultrasound in the diagnosis of placenta accreta in scar area of uterus. Methods from January 2013 to June 2016, 13 patients with placenta accreta in scar site of cesarean section were selected. Results all the 13 patients were confirmed by pathology to be placenta accreta of uterine scar, 10 cases of placenta accreta were revealed by transabdominal ultrasound, 9 cases were complicated with placenta previa, 3 cases were missed diagnosis. The coincidence rate of ultrasonic diagnosis was 76.9.The transabdominal and transperineal ultrasonography showed placenta accreta in 12 cases, placenta previa in 12 cases, missed diagnosis in 1 case. Conclusion Ultrasound has a higher coincidence rate in the diagnosis of placenta accreta in uterine scar, and the diagnostic coincidence rate of transabdominal combined transperineal examination is higher than that of simple transabdominal examination. For patients with suspected placenta accreta, transabdominal ultrasonography should be combined with transperineal ultrasonography, which can provide important basis for clinical diagnosis and treatment of placenta accreta.
【作者單位】： 廣西醫(yī)科大學(xué)附屬南寧市第一人民醫(yī)院超聲科;廣西醫(yī)科大學(xué)附屬南寧市第一人民醫(yī)院產(chǎn)科;
【基金】：廣西壯族自治區(qū)衛(wèi)生和計(jì)劃生育委員會(huì)自籌經(jīng)費(fèi)科研課題(No:Z2015266)
【分類(lèi)號(hào)】：R445.1;R714.2

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