高频超声成像对胎盘植入的诊断价值研究

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摘要目的探讨对胎盘植入诊断应用高频超声成像的临床价值。方法选取2016年2月～2018年2月我院收治的50例接受胎盘植入诊断的患者作为研究对象，进行回顾性分析，分别采用低频、高频超声成像检测，分析检测结果情况。结果病理结果检出47例患者胎盘植入，检出率94.00%。低频结合高频检出44例，检出率88.00%，灵敏度91.49%，特异度66.67%，阳性预测值97.73%，阴性预测值33.33%，假阳性率33.33%，假阴性率8.51%，诊断符合率90.00%。低频检出37例，检出率74.00%，灵敏度74.46%，特异度33.33%，阳性预测值94.59%，阴性预测值7.69%，假阳性率66.67%，假阴性率25.53%，诊断符合率72.00%。低频结合高频检测的特异度、灵敏度、符合率均明显高于单独低频检测结果，差异有统计学意义（P<0.05）。结论对胎盘植入诊断患者采取高频超声成像辅助诊断，可有效提高诊断特异度及灵敏度，并降低假阴性以及假阳性的发生率，有较高临床应用价值。

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	黄翠平
	卫红艳
	庞慧贤
	张海燕
	江宁珠
	范丽萍

关键词 ：胎盘植入诊断, 高频超声成像, 诊断价值

Abstract：Objective To investigate the diagnostic value of high frequency ultrasound imaging for placental implantation.MethodsFrom February 2016 to February 2018,50 patients with placenta implantation diagnosed in our hospital were reviewed and analyzed retrospectively.Low frequency and high frequency ultrasound imaging were used,and the results of the test were analyzed.ResultsPathological examination revealed placenta implantation in 47 patients,with a detection rate of 94.00%.The detection rate of low frequency combined with high frequency was 88.00%,the sensitivity was 91.49%,the specificity was 66.67%,the positive predictive value was 97.73%,the negative predictive value was 33.33%,the false positive rate was 33.33%,the false negative rate was 8.51%and the diagnostic coincidence rate was 90.00%.The detection rate of Low frequency detection was 74.00%,the sensitivity was 74.46%,the specificity was 33.33%,the positive predictive value was 94.59%,the negative predictive value was 7.69%,the false positive rate was 66.67%,the false negative rate was 25.53%and the diagnostic coincidence rate was 72.00%.The specificity，sensitivity and coincidence rate of low frequency combined with high-frequency detection were significantly higher than those of low frequency detection alone,with a statistical difference(P<0.05).Conclusion For the diagnosis of placenta accrete,high frequency ultrasound imaging can improve the diagnostic specificity and sensitivity,reduce the incidence of false negative and false positives,and has high clinical application value.

Key words： Placental implantation diagnosis High frequency ultrasound imaging Diagnostic value

作者简介: 黄翠平（1980-），女，本科，研究方向：主要从事超声诊断工作

引用本文:

黄翠平;卫红艳;庞慧贤;张海燕;江宁珠;范丽萍. 高频超声成像对胎盘植入的诊断价值研究[J]. 中国当代医药, 2018, 25(19): 141-143.
HUANG Cui-ping;WEI Hong-yan;PANG Hui-xian;ZHANG Hai-yan;JIANG Ning-zhu;FAN Li-ping. Diagnostic value study of high frequency ultrasound imaging for placental implantation. 中国当代医药, 2018, 25(19): 141-143.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2018/V25/I19/141

[1]	孟雷，李艳彬，许崇永，等.彩色多普勒超声联合核磁共振成像诊断胎盘植入的价值分析[J].中国计划生育学杂志，2018，26（2）：140，142.
[2]	周莉.凶险性前置胎盘伴胎盘植入的临床处理策略[J].中国医刊，2018，53（1）：5，9.
[3]	Silver RM，Barbour KD.Placenta accreta spectrum：accreta increta and percreta[J].Obstet Gynecol Clin North Am，2015，42（2）：381-402．
[4]	林剑军，黄卫保.磁共振快速成像序列对产前胎盘位置异常的诊断价值[J].中国临床医学，2015，22（5）:679-683.
[5]	单华英，费敬英，查艺葆，等.前置胎盘孕妇产前超声在胎盘植入诊断中的价值[J].中华全科医学，2017，15（7）：1163-1165.
[6]	Rac MWF，Dashe JS，Wells CE，et al.Ultrasound predictors of placental invasion：the Placenta Accreta Index[J].Am J Obstet Gynecol，2015，212（3）：343.e1-e7.
[7]	Algebally AM，Yousef RR，Badr SS，et al.The value of ultrasound and magnetic resonance imaging in diagnostics and prediction of morbidity in cases of placenta previa with abnormal placentation[J].Pol J Radiol，2014，79（1）：409-416.
[8]	杨松玉，舒雪梅，周海慧，等.彩色多普勒超声检查联合AFP、CK监测对产前胎盘植入诊断的价值研究[J].中国妇幼健康研究，2017，28（2）：131-133.
[9]	Riaz RM，Williams TR，Craig BM，et al.Cesarean scar ectopic pregnancy： imaging features，current treatment options，and clinical outcomes[J].Abdom Imaging，2015，40 （7）：2589-2599.
[10]	Pilloni E，Alemanno MG，Gaglioti P，et al.The accuracy of ultrasound in antenatal diagnosis of placental attachment disorders[J].Ultrasound Obstet Gynecol，2016，47（3）：302-307.
[11]	刘艳梅，刘红霞，左春洁，等.超声图像特征在胎盘植入的产前诊断和产后子宫切除预测中的价值[J].陕西医学杂志，2017，46（4）：521-522.
[12]	包亚君，陶国伟，吴海芳，等.产前不同超声征象诊断胎盘植入价值的 meta 分析[J].现代妇产科进展，2017，26（5）：357-361.
[15]	曹燕，耿秀艳，赵长燕.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.
[13]	Kumar I，Verma A，Ojha R，et al.Invasive placental disorders：a prospective US and MRI comparative analysis[J].Acta Radiol，2017，58（1）：121-128.
[14]	Mar WA，Berggruen S，Atueyi U，et al.Ultrasound imaging of placenta accreta with MRI correlation[J].Ultrasound Q，2015，31（1）：23-33.