多种超声方法联合诊断前置胎盘的临床评价

Clinical Evaluation of Combined Diagnosis of Placenta Previa of Various Ultrasound Method

目的:探讨多种超声方法联合诊断前置胎盘的应用价值。方法对拟诊断为前置胎盘的54例患者均先行经腹部超声检查,其中42例出血明显的患者行经会阴超声检查,余患者再行经阴道超声检查。结果临床拟诊前置胎盘54例均先行经腹部超声检查诊断前置胎盘48例,诊断符合率86.1%;有阴道出血史的42例患者再联合经会阴超声检查后诊断前置胎盘40例,诊断符合率95.24%;无阴道出血史的12例患者再联合经阴道超声检查后诊断前置胎盘11例,诊断符合率91.67%。结论经腹部超声有选择的联合经会阴超声或经阴道超声检查能明显提高前置胎盘的诊断率,有较好的临床应用价值。

Objective The application value of combined diagnosis of placenta previa ofvarious ultrasound method.Methods The diagnosis of 54cases of placenta previa underwent transabdominal sonography,including 42 cases of bleeding were underwent transperineal ultrasonography.Results Clinical y diagnosed 54 cases of placenta previa underwent transabdominal ultrasound diagnosis of 48 cases of placenta previa,diagnostic accordance rate was 86.1%;42 patients with waginal bleeding history combined with transperineal ultrasound examination confirmed the diagnosis of 40 casesof placenta previa,diagnosis coincidence rate 95.24%;no combined transvaginal ultrasound diagnosis 11cases of placenta prenia in 12patients with vaginal bleeding history,diagnosis coincidence rate 91.67%.Conclusion Combined with abdominal ultrasound has the choice of transperineal ultrasound and transvaginal ultrasound examination can improve the diagnosis of placenta previa rate,have a good clinlcal value.