动态超声检查对不典型胎盘早剥的诊断价值

目的:探讨动态超声检查诊断不典型胎盘早剥的应用价值。方法 :回顾分析我院21例不典型胎盘早剥孕妇采用动态超声检查的相关资料。结果:15例胎盘局部动态增厚,胎盘与宫壁间2例出现低回声,1例低回声范围增大,3例胎盘内部回声不均并增厚。其中2例临产自然分娩,母儿预后好,产后检查胎盘面有血块压迹;17例急诊剖宫产手术,母儿预后好,术后证实为胎盘早剥;2例因孕周较小转上级医院,结果不详。结论:胎盘早剥的超声声像图表现多样,不典型胎盘早剥患者临床症状不明显,超声动态观察胎盘变化能为临床医生提供诊断依据。

Objective To study the dynamic ultrasound examination in the diagnosis of atypical placental abruption application value. Methods Retrospective analysis of 21 cases of atypical placental abruption pregnant women using dynamic ultrasound examination of the related information. Results 15 cases with local dynamic thickening of the placenta, placenta and the palace wall, 2 cases with low echo between 1 case of low echo area increase, 3 cases of placenta uneven internal echo and thickening. Including 2 cases of labor natural birth, mother good prognosis, postpartum check placental surface have blood pressure; 17 cases of emergency cesarean section surgery, mother good prognosis, and postoperative confirmed as placental abruption; In 2 cases due to small gestational age superior hospital, the result is unknown. Conclusion Ultrasonic ultrasonographic manifestation of placental abruption, no obvious clinical symptoms in patients with atypical placental abruption, ultrasonic dynamic observation of the placenta changes provide diagnostic basis for clinical doctors.