磁共振成像在产前胎盘植入诊断中的应用

The Application of MRI in the Diagnosis of Prenatal Placental Implantation

目的对磁共振成像在产前胎盘植入诊断中的应用价值进行分析对比。方法选取我院2018年4月—2019年4月收治的进行产前超声检查结果显示为产前胎盘植入的患者共100例,对所有患者进行磁共振成像检查,在完成剖宫产分娩后,同时对检查结果进行病理分析。结果手术病理诊断结果显示,胎盘植入共56例,其中共包括粘连型15例、植入型31例、胎盘穿透10例。磁共振成像结果显示胎盘植入共52例,磁共振成像诊断结果对照手术诊断结果进行对照,诊断符合率为97.08%。其中包括漏诊2例,误诊2例,灵敏度为92.86%。结论通过磁共振进行产妇的胎盘植入检测,能够提高临床诊断的准确概率,其诊断的灵敏度及特异性较高,能够作为高效的胎盘植入诊断措施。

Objective The application value of magnetic resonance imaging in the diagnosis of prenatal placental implantation was analyzed and compared.Methods A total of 100 cases of patients admitted to our hospital from April 2018 to April 2019 were selected and the results of prenatal ultrasound examination showed that the patients were implanted with prenatal placenta.All the patients were examined by magnetic resonance imaging.After cesarean section,intraoperative diagnosis was made.Results The results of surgical pathology showed that there were 56 cases of placenta accreta,including 15 cases of adhesive type,31 cases of placenta accreta and 10 cases of placenta penetration.Magnetic resonance imaging results showed that 52 cases of placenta accreta,MRI diagnosis results were compared with surgical diagnosis results,the diagnosis coincidence rate was 97.08%.The sensitivity was 92.86%.Conclusion The accurate probability of clinical diagnosis can be improved by using magnetic resonance imaging to detect placental implantation,and the sensitivity and specificity of the diagnosis are high.Therefore,it can be used as an effective diagnostic measure of placental implantation.