产前三维能量多普勒超声在胎盘植入中的诊断价值

Abstract
Figure/Table
References (22)
Related Citation (15)

Download: PDF (504 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the effect of prenatal three-dimensional power Doppler ultrasound in evaluating the severity of placental implantation. Methods Through the convenient sampling method, 100 pregnant women with placenta previa and placenta accreta treated in Jiangxi Maternal and Child Health Hospital from January 2017 to December 2020 were selected as the research objects. According to the severity of placenta implantation, the patients were divided into severe group (placenta attached to lower uterine scar site, 32 cases) and mild to moderate group (placenta not attached to lower uterine scar site, 68 cases). Another 100 normal women with placenta in the anterior wall were selected as the control group. All maternal antenatal achieved three-dimensional power doppler ultrasound and cesarean section surgery and the postoperative pathological results as the gold standard. The placental flow index (FI), vascular flow index (VFI) and peak blood flow velocity (PSV) were compared among the three groups, and the diagnostic efficacy of FI, VFI and PSV for severe placental implantation was analyzed. Results FI, VFI and PSV of the severe group and mild-moderate group were higher than those of the control group, and FI, VFI and PSV of the severe group were higher than those of the mild-moderate group, and the differences were statistically significant (P<0.05). The sensitivity, specificity, Youden index and area under curve (AUC) of VFI in the diagnosis of severe placental implantation were higher than those of FI and PSV. Conclusion Three dimensional power Doppler ultrasound is an effective way to diagnose placental implantation. It has high application value in evaluating the severity of placental implantation and is worthy of clinical attention.

Key words： Placenta implantation Placenta previa Three dimensional power Doppler ultrasound Prenatal diagnosis Receiver operating characteristic curve Application value

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZENG Wenhua
	WANG Xianjin

Cite this article:

ZENG Wenhua,WANG Xianjin. Diagnostic value of prenatal three-dimensional power Doppler ultrasound in placental implantation[J]. 中国当代医药, 2022, 29(20): 122-125.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I20/122

[1]	Jauniaux E，Collins S，Burton GJ.Placenta accreta spectrum：pathophysiology and evidence-based anatomy for prenatal ultrasound imaging[J].Am J Obstet Gynecol，2018，218（1）：75-87.
[2]	Khaliq Showman HA，Alizzi FJ，Helmi ZR，et al.Placenta accrete spectrum disorders：A single centre experience over four years in the view of international guidelines[J].J Pak Med Assoc，2019，69（Suppl 3）（8）：S68-S72.
[3]	Zaghal AA，Hussain HK，Berjawi GA.MRI evaluation of the placenta from normal variants to abnormalities of implantation and malignancies[J].J Magn Reson Imaging，2019，50（6）：1702-1717.
[4]	刘志燕，伍玉晗.三维能量多普勒超声联合超声乳腺影像报告和数据系统在乳腺良恶性病灶鉴别诊断中的应用价值[J].中国医学装备，2019，16（8）：43-46.
[5]	宋蕾，王一凡，林冲，等.经阴道二维超声、三维超声容积成像及能量多普勒超声在宫腔粘连诊断中的联合应用[J].中国临床医学影像杂志，2019，30（5）：342-345，367.
[6]	彭方亮，罗欣，漆洪波.瘢痕子宫再次妊娠并发前置胎盘197例临床分析[J].中国实用妇科与产科杂志，2016，32（8）：788-791.
[7]	陈敦金，杨慧霞.胎盘植入诊治指南（2015）[J].中华围产医学杂志，2015，50（7）：26-31.
[8]	Wei Y，Luo J，Luo D.Comparison of Efficacy between Internal Iliac Artery and Abdominal Aorta Balloon Occlusions in Pernicious Placenta Previa Patients with Placenta Accrete[J].Gynecol Obstet Invest，2019，84（4）：343-349.
[9]	Lucas ES，Vrljicak P，Muter J，et al.Recurrent pregnancy loss is associated with a pro-senescent decidual response during the peri-implantation window[J].Commun Biol，2020， 3（1）：37.
[10]	Luo L，Sun Q，Ying D，et al.Scoring system for the prediction of the severity of placenta accrete spectrum in women with placenta previa：a prospective observational study[J].Arch Gynecol Obstet，2019，300（3）：783-791.
[11]	冯佩明，王晓岩，李博，等.超声诊断剖宫产瘢痕妊娠与胎盘植入的关系研究[J].中国计划生育和妇产科，2019， 11（9）：64-67.
[12]	刘小晖，董燕，刘小玲，等.凶险性前置胎盘合并胎盘植入的产前超声诊断及凶险预测研究[J].中国计划生育学杂志，2019，27（4）：539-543.
[13]	刘小渝，杨敏，雷蜀娥，等.胎盘植入危险因素分析及产前彩色多普勒超声联合MRI的诊断价值[J].中国CT和MRI杂志，2021，19（10）：133-136.
[14]	胡振芳，张金辉.阴道三维能量多普勒超声血管参数在子宫瘢痕妊娠治疗中的临床意义研究[J].中国性科学，2020，29（8）：36-38.
[15]	冯金凤，郑卫，陈宇翔，等.三维能量多普勒超声血流定量参数测定对子宫内膜良恶性病变的诊断价值[J].河北医药，2021，43（10）：1554-1556.
[17]	凌思卓，曾海文，刘滨月.三维能量多普勒超声对胎盘植入患者的临床诊断价值分析[J].中国计划生育和妇产科，2018，10（12）：56-59.
[16]	Farina A.Placental vascular indices（VI，FI and VFI）in intrauterine growth retardation（IUGR）：a pooled analysis of the literature[J].Prenat Diagn，2015，35（11）：1065-1072.
[18]	吕志儒，王小丹，刘微.彩色多普勒超声在前置胎盘并胎盘植入中的诊断效能[J].中国当代医药，2021，28（4）：163-165.
[19]	庄夏莲，吴秋梅，翁宗杰，等.三维彩色高分辨率血流血管成像技术对凶险性前置胎盘合并胎盘植入的诊断价值[J].中国医药科学，2020，10（23）：196-199.
[20]	蔡霜婷，游淑红，王涛，等.子宫动脉多普勒超声在胎盘植入产前诊断的应用[J].当代医学，2020，26（15）：27-29.
[21]	刘中华，吴秀明，黄阿评，等.三维能量多普勒超声产前诊断胎盘植入性疾病[J].中国医学影像技术，2021，37（9）：1373-1377.
[22]	陈艳霞，史妙丽，杨璞，等.三维能量多普勒超声对晚孕期胎盘植入的临床价值及符合率分析[J].影像研究与医学应用，2021，5（11）：93-94.