超声影像学技术在凶险型前置胎盘诊断中的价值探讨
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摘要
目的探讨分析超声影像学技术在凶险型前置胎盘诊断中的价值。方法本院于2015年1月至2018年1月共收治凶险型前置胎盘患者6例,6例凶险型前置胎盘患者均经手术结果及病理学确诊。给予6例凶险型前置胎盘患者产前彩超检查诊断与磁共振成像检查诊断,比较分析产前彩超检查诊断与磁共振呈现检查诊断的结果。结果彩超组检出符合率与磁共振成像组检出符合率一致,数据比较差异无统计学意义。彩超组诊断敏感性,特异性分别为100.00%,83.33%,磁共振成像组诊断敏感性,特异性分别为100.00%,100.00%。两组诊断敏感性,特异性比较,数据比较差异无统计学意义。结论彩超检出凶险型前置胎盘的准确率较高,总临床诊断价值显著,值得应用。
Objective To explore and analyze the value of ultrasonography in the diagnosis of dangerous placenta previa. Methods From January 2015 to January 2018, 6 patients with dangerous placenta previa were treated in our hospital. All 6 patients with dangerous placenta previa were confirmed by operation and pathology. Six cases of dangerous placenta previa were diagnosed by prenatal color Doppler ultrasonography and magnetic resonance imaging. The results of prenatal color Doppler ultrasonography and magnetic resonance imaging were compared and analyzed.Results The coincidence rate of color Doppler ultrasound and magnetic resonance imaging was the same, and there was no significant difference in the data. The diagnostic sensitivity and specificity of color Doppler ultrasound group were 100.00% and 83.33% respectively. The diagnostic sensitivity and specificity of magnetic resonance imaging group were 100.00% and 100.00%, respectively. There was no significant difference in diagnostic sensitivity and specificity between the two groups. Conclusion The accuracy of color Doppler ultrasonography in detecting dangerous placenta previa is high, and the total clinical diagnostic value is significant, which is worthy of application.
Objective To explore and analyze the value of ultrasonography in the diagnosis of dangerous placenta previa. Methods From January 2015 to January 2018, 6 patients with dangerous placenta previa were treated in our hospital. All 6 patients with dangerous placenta previa were confirmed by operation and pathology. Six cases of dangerous placenta previa were diagnosed by prenatal color Doppler ultrasonography and magnetic resonance imaging. The results of prenatal color Doppler ultrasonography and magnetic resonance imaging were compared and analyzed.Results The coincidence rate of color Doppler ultrasound and magnetic resonance imaging was the same, and there was no significant difference in the data. The diagnostic sensitivity and specificity of color Doppler ultrasound group were 100.00% and 83.33% respectively. The diagnostic sensitivity and specificity of magnetic resonance imaging group were 100.00% and 100.00%, respectively. There was no significant difference in diagnostic sensitivity and specificity between the two groups. Conclusion The accuracy of color Doppler ultrasonography in detecting dangerous placenta previa is high, and the total clinical diagnostic value is significant, which is worthy of application.
引文
[1]王晶,杨太珠.凶险型前置胎盘合并胎盘植入的产前超声诊断及临床意义[J].中华妇幼临床医学杂志(电子版),2014,10(3):50-53.
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[5]李琴,邓学东,王中阳,等.经腹联合经会阴超声诊断凶险型前置胎盘合并胎盘植入的价值[J].实用临床医药杂志,2016,20(11):83-86.
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[8]张超,王娜,安丽,等.超声联合肌酸激酶及AFP检查凶险型前置胎盘合并胎盘植入的诊断和预后评估价值分析[J].河北医药,2018,40(13):1940-1944.
[9]马芬,李燕,陶溢潮,等.凶险型前置胎盘并胎盘植入的超声诊断价值[J].临床超声医学杂志,2016(3):198-199.
[10]曹燕,耿秀艳,赵长燕,等.产前超声在凶险型前置胎盘合并胎盘植入诊断中的应用价值[J].中国妇幼保健,2017,32(10):2237-2239.
[2]申炜,许梅海,黄龙全,等.磁共振成像与彩超在凶险型前置胎盘诊断价值的比较[J].广东医学,2016,37(z1):44-47.
[3]雷晓真,黄淑晖,郑九生,等.超声联合甲胎蛋白检测预测凶险型前置胎盘合并胎盘植入的临床价值[J].中国妇幼保健,2015,30(18):2940-2943.
[4]谷豫鸣,魏俊,熊常君,等.超声检查与磁共振在植入性凶险型前置胎盘中的诊断价值[J].中国医药导报,2016,13(4):105-108.
[5]李琴,邓学东,王中阳,等.经腹联合经会阴超声诊断凶险型前置胎盘合并胎盘植入的价值[J].实用临床医药杂志,2016,20(11):83-86.
[6]胡望福,张玲.MRI检查在鉴别凶险型前置胎盘中的价值研究[J].医疗卫生装备,2018,39(3):57-60.
[7]李琴,邓学东,王中阳,等.凶险型前置胎盘合并胎盘植入的产前超声诊断分析[J].中华医学超声杂志(电子版),2016,13(3):218-223.
[8]张超,王娜,安丽,等.超声联合肌酸激酶及AFP检查凶险型前置胎盘合并胎盘植入的诊断和预后评估价值分析[J].河北医药,2018,40(13):1940-1944.
[9]马芬,李燕,陶溢潮,等.凶险型前置胎盘并胎盘植入的超声诊断价值[J].临床超声医学杂志,2016(3):198-199.
[10]曹燕,耿秀艳,赵长燕,等.产前超声在凶险型前置胎盘合并胎盘植入诊断中的应用价值[J].中国妇幼保健,2017,32(10):2237-2239.