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目的探讨胎盘早剥患者的超声声像图特点。方法选取2010年3月至2014年9月辽宁省东港市中医院诊断的胎盘早剥患者28例为研究对象,均经手术或阴道分娩证实,回顾性分析其超声声像图特点,结合随访结果,总结胎盘早剥的特征性图像改变。结果 28例患者中,超声正确诊断25例,漏诊3例,诊断符合率为89.3%。根据不同的超声声像图特征,将胎盘早剥分为3型,其中团块型15例(60.0%),积液型6例(24.0%),混合型4例(16.0%)。轻度胎盘早剥(剥离面积<1/3)13例,超声正确诊断11例,诊断符合率为84.6%,中重度胎盘早剥(剥离面积≥1/3)15例,超声争取诊断14例,诊断符合率为93.3%。结论超声检查对诊断胎盘早剥具有重要的临床价值。
Objective To investigate the characteristics of ultrasonography in patients with placental abruption. Methods From March 2010 to September 2014, 28 cases of placental abruption diagnosed by Donggang Hospital of Traditional Chinese Medicine in Liaoning Province were selected as study subjects. All cases were confirmed by operation or vaginal delivery. The characteristics of ultrasonography were analyzed retrospectively. , Summarize the characteristic image changes of placental abruption. Results Of the 28 patients, 25 cases were correctly diagnosed by ultrasound and 3 cases were missed. The diagnostic coincidence rate was 89.3%. According to the characteristics of different sonographic features, the placenta accreta was divided into 3 types, including 15 cases of mass (60.0%), 6 cases of effusion (24.0%) and 4 cases of mixed type (16.0%). Thirteen cases with mild placental abruption (peeling area <1/3), 11 cases correctly diagnosed by ultrasound, 84.6% with diagnostic accuracy, 15 cases with moderate-severe placental abruption (peeling area≥1 / 3) , The diagnostic coincidence rate was 93.3%. Conclusion Ultrasonography has important clinical value in the diagnosis of placental abruption.