产前超声在诊断血管前置中的临床应用分析
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摘要
目的:观察并探讨产前超声在诊断血管前置中的临床应用价值。方法:选取2016年12月—2018年6月期间12例我院确诊的血管前置孕妇,对所有孕妇产前超声图像资料及妊娠病理结果进行回顾性分析。结果:超声诊断中10例血管前置,漏诊2例。其中4例无胎盘低置、8例合并低置胎盘,9例胎盘帆状脐带入口,1例边缘脐带入口,2例副胎盘。产前超诊断的10例患者中均择期行剖宫产手术,未出现新生儿死亡的情况。中孕期漏诊患者因妊高症36周给予剖宫产手术,并确诊为血管前置;晚孕期漏诊孕妇顺产过程中脐血管破裂,胎心消失。结论:在血管前置中实施产前超声诊断具有较高准确性,便捷性较高,中孕期是超声诊断血管前置的最佳时期,临床上必须要对产前超声诊断给予高度重视,及时准确实施剖宫产手术,保证产妇与新生儿的安全。
Objective To observe and discuss the clinical value of prenatal ultrasonography in the diagnosis of vascular preposition.Methods From December 2016 to June 2018,12 pregnant women with prenatal vascular diseases diagnosed in our hospital were selected.The prenatal ultrasonographic data and pathological findings of all pregnant women were analyzed retrospectively.Results Among the ultrasonographic diagnoses,10 cases were prepositioned and 2 cases were missed.Among them,there were 4 cases without placenta lower,8 cases with placenta lower,9 cases with placenta veliform umbilical cord entrance,1 case with marginal umbilical cord entrance,and 2 cases with accessory placenta.Of the 10 patients diagnosed by prenatal ultrasonography,cesarean section was performed on a selective basis,and no neonatal death occurred.Caesarean section was performed for 36 weeks of pregnancy-induced hypertension in patients who missed diagnosis in the second trimester and were diagnosed as previa of blood vessel;Umbilical artery rupture and fetal heart disappeared during spontaneous delivery in pregnant women who missed diagnosis in the late trimester. Conclusion Prenatal ultrasound diagnosis in prenatal blood vessel has high accuracy and convenience.Mid-pregnancy is the best time for ultrasound diagnosis of prenatal blood vessel.Clinically,we must attach great importance to prenatal ultrasound diagnosis,timely and accurate implementation of cesarean section to ensure the safety of maternal and neonatal.
Objective To observe and discuss the clinical value of prenatal ultrasonography in the diagnosis of vascular preposition.Methods From December 2016 to June 2018,12 pregnant women with prenatal vascular diseases diagnosed in our hospital were selected.The prenatal ultrasonographic data and pathological findings of all pregnant women were analyzed retrospectively.Results Among the ultrasonographic diagnoses,10 cases were prepositioned and 2 cases were missed.Among them,there were 4 cases without placenta lower,8 cases with placenta lower,9 cases with placenta veliform umbilical cord entrance,1 case with marginal umbilical cord entrance,and 2 cases with accessory placenta.Of the 10 patients diagnosed by prenatal ultrasonography,cesarean section was performed on a selective basis,and no neonatal death occurred.Caesarean section was performed for 36 weeks of pregnancy-induced hypertension in patients who missed diagnosis in the second trimester and were diagnosed as previa of blood vessel;Umbilical artery rupture and fetal heart disappeared during spontaneous delivery in pregnant women who missed diagnosis in the late trimester. Conclusion Prenatal ultrasound diagnosis in prenatal blood vessel has high accuracy and convenience.Mid-pregnancy is the best time for ultrasound diagnosis of prenatal blood vessel.Clinically,we must attach great importance to prenatal ultrasound diagnosis,timely and accurate implementation of cesarean section to ensure the safety of maternal and neonatal.
引文
[1]陈陶玲,李银华,张小英.产前超声检查在前置胎盘及植入孕妇分娩大出血预测中的临床应用价值[J].心电图杂志(电子版),2018,7(03):27-30.
[2]何楠.实时三维彩色多普勒超声在产前诊断胎盘血管前置中的应用[J].航空航天医学杂志,2017,28(12):1487-1488.
[3]陈淑金,邱思花.彩色多普勒超声在产前诊断胎盘血管前置中的临床应用价值[J].中国医药科学,2017,7(21):158-160.
[4]朵生兰.经腹与经阴道彩色多普勒超声诊断帆状胎盘脐血管前置的临床价值[J].青海医药杂志,2017,47(05):70-71.
[5]李琴,邓学东,王中阳,陆冰,张丽丽,申建秋,卞敏.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(03):218-223.
[6]郑木如.实时三维彩色多普勒超声在产前诊断胎盘血管前置中的应用价值探讨[J].医疗装备,2015,28(05):62-63.
[7]黄欢,田晓先,黎新艳,林莲恩,路婧,谭玲.产前超声诊断11例妊娠合并血管前置病例分析[J].中国优生与遗传杂志,2015,23(02):67-68+93.
[8]郭朝锋,王岩青,王晓静,薛洁,高白,史念曾.急诊床旁超声对血管前置及脐带脱垂的诊断价值[J].中国医学影像学杂志,2013,21(10):780-782.
[2]何楠.实时三维彩色多普勒超声在产前诊断胎盘血管前置中的应用[J].航空航天医学杂志,2017,28(12):1487-1488.
[3]陈淑金,邱思花.彩色多普勒超声在产前诊断胎盘血管前置中的临床应用价值[J].中国医药科学,2017,7(21):158-160.
[4]朵生兰.经腹与经阴道彩色多普勒超声诊断帆状胎盘脐血管前置的临床价值[J].青海医药杂志,2017,47(05):70-71.
[5]李琴,邓学东,王中阳,陆冰,张丽丽,申建秋,卞敏.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(03):218-223.
[6]郑木如.实时三维彩色多普勒超声在产前诊断胎盘血管前置中的应用价值探讨[J].医疗装备,2015,28(05):62-63.
[7]黄欢,田晓先,黎新艳,林莲恩,路婧,谭玲.产前超声诊断11例妊娠合并血管前置病例分析[J].中国优生与遗传杂志,2015,23(02):67-68+93.
[8]郭朝锋,王岩青,王晓静,薛洁,高白,史念曾.急诊床旁超声对血管前置及脐带脱垂的诊断价值[J].中国医学影像学杂志,2013,21(10):780-782.