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目的探讨胎盘早剥的彩色多普勒影像学表现,从而协助临床早期诊断,避免母婴的伤害。方法对一年内在本院分娩的孕妇中发生胎盘早剥的产前超声声像图与术后胎盘的病理诊断比对,分析。结果在选取的3 258名孕妇中,发生胎盘早剥的孕妇为39例。综合分析产前超声图像发现,虽然胎盘早剥的声像图变化较多,但也是有其特征性的改变。结合孕妇的临床症状,完全可以早期做出准确的判断。结论掌握胎盘早剥的声像图变化,充分利用CDFI,CW的手段,可以早期诊断胎盘早剥,减少母婴的损害。
Objective To explore the color Doppler imaging of placental abruption, so as to help clinical early diagnosis and avoid the harm of mother and infant. Methods Comparing and analyzing the prenatal ultrasonography and placenta pathology diagnosis of placental abruption in pregnant women who delivered in our hospital within one year. Results Among the 3 258 pregnant women selected, 39 pregnant women had placental abruption. Comprehensive analysis of prenatal ultrasound images found that although there are many changes in the sonography of placental abruption, but also has its characteristic changes. Combined with the clinical symptoms of pregnant women, can make accurate early judgments. Conclusion To master the changes of sonography of placental abruption, make full use of CDFI and CW means to diagnose early placental abruption and reduce the damage of mother and infant.