摘要
目的探讨产前超声诊断血管前置的临床意义。方法选取2010年1月～2012年12月来我院行彩色多普勒超声产前检查的孕妇6348例,检测胎盘及相关区域内的血流信号,判断是否存在前置血管,并将检查结果与临床手术确诊结果进行对照分析。结果 6348例孕妇最终临床手术确诊血管前置22例,血管前置的发生率为0.35%,产前超声检出血管前置19例,漏诊3例,产前超声检查结果符合率86.36%,漏诊率13.64%,彩色多普勒超声下前置血管分型:帆状附着型9例(47.37%),副胎盘型4例(21.05%),双叶胎盘型3例(15.79%),脐带胎盘边缘附着型3例(15.79%),19例彩色多普勒超声诊断前置血管患者经阴道分娩3例(15.79%),剖宫产16例(84.21%);活婴18例(94.74%),胎儿死亡1例(5.26%);全部母亲及18例婴儿均康复出院。结论产前超声检查诊断血管前置具有较高的诊断符合率,可作为产前检查血管前置的首选方法。
Objective To discuss the clinical value of prenatal ultrasonic diagnosis of vasa praevia. Methods The blood flow signal of placenta and other related region in 6348 pregnantwomen underwent prenatal color doppler ultrasonography in our hospital from January 2010 to December 2012 were examined,by which the vasa praevia were detected.The results of ultrasonic examination and clinical operations-confirmed diagnosis were compared and analyzed. Results In 6348 pregnant women,there were 22 cases（0.35%） with vasa praevia by clinical operations-confirmed diagnosis,19 cases（86.36%）with vasa praevia by prenatal ultrasonic diagnosis,3 cases（13.64%） missed diagnosis.The types of vasa praevia by color doppler ultrasonography were velamentous insertion type,including 9 cases（47.37%）;accessory placenta type,including 4 cases（21.05%）;bilobed placenta type,including 3 cases（15.79%）,placental attachment of umbilical cord type,including 3 cases（15.79%）.In 19 cases with vasa praevia by color doppler ultrasonography diagnosis,3 infants（15.79%）were born by vaginal delivery,16 infants（84.21%）were born by cesarean section;there were 18 living infants（94.74%）,l case（5.26%）of fetal death.All pregnant women and 18 infants were discharged from hospital upon recovery. Conclusion Prenatal ultrasonic diagnosis of vasa praevia has higher coincidental rate of the diagnosis,and can be a first choice examination method of prenatal vasa praevia.
出处
《中国医药科学》
2013年第12期113-114,共2页
China Medicine And Pharmacy
关键词
血管前置
彩色多普勒超声
产前检查
临床价值
Vasa praevia
Color doppler uhrasonography
Prenatal examination
Clinical value
