[1]黄静怡,骆周展,谷达玮.超声评分法预测凶险性前置胎盘合并胎盘植入及不良妊娠结局[J].中国医学物理学杂志,2020,37(9):1160-1163.[doi:10.3969/j.issn.1005-202X.2020.09.015]
　HUANG Jingyi,LUO Zhouzhan,GU Dawei.Ultrasound scoring for prediction of dangerous placenta previa combined with placenta accretaand analysis of adverse pregnancy outcomes[J].Chinese Journal of Medical Physics,2020,37(9):1160-1163.[doi:10.3969/j.issn.1005-202X.2020.09.015]
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超声评分法预测凶险性前置胎盘合并胎盘植入及不良妊娠结局()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
37
期数:
2020年第9期
页码:
1160-1163
栏目:
医学人工智能
出版日期:
2020-09-25

文章信息/Info

Title:
Ultrasound scoring for prediction of dangerous placenta previa combined with placenta accreta and analysis of adverse pregnancy outcomes
文章编号:
1005-202X（2020）09-1160-04
作者:
黄静怡1; 骆周展1; 谷达玮2
1. 长沙市第一医院超声科，湖南长沙410005；2. 郴州市第一人民医院口腔科，湖南郴州423000
Author(s):
HUANG Jingyi1;  LUO Zhouzhan1;  GU Dawei2
1. Department of Ultrasound, Changsha First Hospital, Changsha 410005, China 2. Department of Stomatology, Chenzhou No. 1 Peoples Hospital, Chenzhou 423000, China
关键词:
超声评分法; 凶险性前置胎盘; 胎盘植入; 妊娠结局
Keywords:
ultrasound scoring dangerous placenta previa placenta accreta pregnancy outcome
分类号:
R445.1；R714.2
DOI:
10.3969/j.issn.1005-202X.2020.09.015
文献标志码:
A
摘要:
目的：分析超声评分法在凶险性前置胎盘合并胎盘植入及不良妊娠结局中的预测方法及价值。方法：将100例凶 险性前置胎盘疑似胎盘植入患者纳入本研究，利用超声评分法对患者的胎盘植入程度进行评估，将评估结果与术后病理 结果进行对比分析。结果：超声评分法在粘连型、植入型和穿透型患者中的检出率分别为100.00%、100.00%和86.36%， 在凶险性前置胎盘合并胎盘植入的总检出率为95.59%，与病理诊断相比并无显著差异（P>0.05）；超声评分法在植入型中 的灵敏度和特异度分别为100.00%和72.22%，在穿透型中的灵敏度和特异度分别为86.36%和100.00%；植入型和穿 透型患者的不良妊娠结局发生率分别为76.09%和100.00%，均显著高于粘连型（P<0.05），且穿透型明显高于植入型 （P<0.05）。结论：超声评分法可以有效实现对凶险性前置胎盘合并胎盘植入患者的预测，通过对患者病理类型分类，发现 穿透型患者的不良妊娠结局发生率最高，应当在临床中采取预防性干预措施。
Abstract:
Objective To analyze the method and value of ultrasound scoring in assessing dangerous placenta previa combined with placenta accreta and predicting adverse pregnancy outcomes. Methods A total of 100 patients with dangerous placenta previa and suspected placenta accreta were enrolled in this study. The degree of placenta accreta was evaluated using ultrasound scoring, and the evaluation results were then compared with postoperative pathologic results. Results The detection rates of adhesion type, accreta type and penetrating type by ultrasound scoring were 100.00%, 100.00% and 86.36%, respectively, and the total detection rate of dangerous placenta previa combined with placenta accreta was 95.59%. Compared with pathologic diagnoses, there was no significant difference (P>0.05). The sensitivity and specificity of ultrasound scoring in accreta type were 100.00% and 72.22%, and those in penetrating type were 86.36% and 100.00%. The incidences of adverse pregnancy outcomes in accreta type and penetrating type was higher than that of adhesion type (P<0.05), and the incidence of adverse pregnancy outcomes in penetrating type was significantly higher than that of accreta type (100.00% vs 76.09%, P<0.05). Conclusion Ultrasound scoring can effectively predict dangerous placenta previa combined with placenta accreta. By classifying the pathologic types, it is found that the incidence of adverse pregnancy outcomes in penetrating type is the highest, and some preventive measures should be taken in clinical interventions.

备注/Memo

备注/Memo:
【收稿日期】2020-04-19 【基金项目】湖南省卫生健康委科研课题（20190404） 【作者简介】黄静怡，主治医师，研究方向：妇产科及肝胆超声，E-mail: 1470307172@qq.com 【通信作者】谷达玮，主治医师，E-mail: w995612@qq.com
更新日期/Last Update: 2020-09-25