分析产前超声检查对妊娠晚期产科性出血病因的诊断价值

Diagnostic Value of Prenatal Ultrasound for the Etiology of Obstetric Hemorrhage in Late Pregnancy

目的分析探讨产前超声检查对妊娠晚期产科性出血病因的诊断价值。方法选取2018年2月至2019年2月1年内在我院进行超声检查的100例妊娠晚期产科性出血患者作为研究对象。所有患者均进行超声检查,就超声检查结果与病理诊断结果进行对比分析。结果病理诊断结果中胎盘早剥占60%(60/100);胎盘边缘血窦破裂25%(25/100);前置胎盘15%(15/100),超声诊断结果胎盘早剥占40%(40/100);胎盘边缘血窦破裂20%(20/100);前置胎盘25%(25/100)。通过超声检查与病理学检查结果的对比发现,两种诊断方法的结果对比差异无统计学意义(P>0.05)。结论对妊娠晚期产科性出血患者的检查过程中利用超声检查的准确率较高,能够有效判断出血的原因,有较高的应用价值,值得推广。

Objective To analyze the diagnostic value of antenatal ultrasound in the etiology of postpartum hemorrhage in the third trimester of pregnancy. Methods One hundred patients with postpartum bleeding in our hospital from February 2018 to February 2019 were selected as the subjects. All patients were examined by ultrasound, and the results of ultrasound and pathological diagnosis were compared and analyzed. Results Placental abruption accounted for 60%(60/100), marginal blood sinus rupture 25%(25/100), placenta previa 15%(15/100). Ultrasound diagnosis showed that placental abruption accounted for 40%(40/100), placental marginal sinus rupture 20%(20/100), placenta previa 25%(25/100). It was found that the results of the two diagnostic methods were not statistically significant(P>0.05). Conclusion The accuracy of the ultrasonic examination is higher in the course of the examination of the patients with advanced obstetric hemorrhage, and the cause of the bleeding can be effectively judged.