摘要
目的研究分析脐带血管前置超声诊断准确性,对误诊、漏诊的情况进行分析。方法选择2012年6月至2016年6月期间本院接收的脐带血管前置25例作为研究对象,所有患者均进行产前超声检查,分析超声检查结果。结果 25例脐带血管前置中,5例漏诊,3例误诊,其中,漏诊是由于孕周大、羊水少、颅骨声影影响而导致宫颈内口显示模糊,误诊中,1例脐带先露、1例脐带脱垂、1例子宫下段扩张血管误诊为血管前置;16例脐带帆状附着型,6例副胎盘型,2例双叶胎盘型,1例脐带胎盘边缘附着型;分娩结果中,8例早产儿,15例足月产儿,2例引产。结论临床上需加强对产前超声检查的重视,倡导孕妇积极进行超声检查,并加强脐带血管前置与脐带先露等情况的鉴别,以减少漏诊、误诊的发生。
Objective To analyze the accuracy of ultrasound diagnosis of umbilical cord blood and reasons of misdiagnosis and missed diagnosis.Methods 25 cases of umbilical cord blood vessels in our hospital from June 2012 to June 2016 were retrospectively analyzed.All patients were examined by prenatal ultrasound.Results Among the 25 cases of preposed umbilical cord blood vessels,there were 5 cases of missed diagnosis and 3 cases of misdiagnosis.The blur display of intracervical mouth as gestational age,less amniotic fluid,skull acoustic shadow effect caused the missed diagnosis.The presentation of umbilical cord,umbilical cord prolapse and the expansion of blood vessels on the lower uterine segment were misdiagnosed as preposed blood vessels.There were 16 cases of velamentous insertion of umbilical cord,6 cases of accessory placenta,2 cases of double placenta,and 1 case of umbilical cord and placenta edge attachment.In the result of the childbirth,8 cases were premature infants,15 cases were full-term infants,and 2 cases were induced abortion.Conclusion It is necessary to strengthen the importance of prenatal ultrasound examination and the identification of preposed umbilical cord blood vessels and presentation of the umbilical cord,so as to reduce the incidence of missed diagnosis and misdiagnosis.
出处
《锦州医科大学学报》
CAS
2017年第2期51-53,I0004,共4页
Journal of Jinzhou Medical University
关键词
脐带血管前置
超声
诊断
preposed umbilical vessel
ultrasound
diagnosis
