产前超声征象评分法对胎盘前置植入的临床诊断价值评估

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (6): 519-521.

产前超声征象评分法对胎盘前置植入的临床诊断价值评估

出版日期:2021-12-25 上线日期:2023-12-05

Clinical diagnostic value of prenatal ultrasonographic scoring system in placenta previa with placenta accrete

Published:2021-12-25 Online:2023-12-05

摘要/Abstract

摘要： 目的探究产前超声征象评分法在胎盘前置植入的临床诊断价值。方法选取2018年8月至2020年8月本院收治的孕妇78例,按病理检查结果分为胎盘前置植入组34例和胎盘前置未植入组44例。其中胎盘前置植入组分为粘连型11例、植入型14例及穿透型9例。比较不同分组及植入类型孕妇的产前超声征象评分,并分析其诊断胎盘前置植入的临床价值。结果胎盘前置植入组产前超声征象评分为(3.85±0.54)分,高于胎盘前置未植入组(0.35±0.11)分,差异有统计学意义(P<0.05)。粘连型、植入型及穿透型产前超声征象评分分别为(3.69±0.74)分、(3.88±0.56)分、(3.91±0.65)分。3种产前超声征象评分比较差异无统计学意义(P>0.05)。产前超声征象评分诊断胎盘前置植入的灵敏度为94.11%,特异度为93.18%,阳性预测值为91.42%,阴性预测值95.34%。结论胎盘前置植入孕妇的产前超声征象评分明显高于其他类型产妇,对于胎盘前置植入具有较高的确诊率和诊断价值。

关键词: 前置胎盘, 胎盘植入, 孕妇, 产前超声征象评分

Abstract: ObjectiveTo explore the clinical diagnostic value of prenatal ultrasonographic scoring system in placenta previa with placenta accreta.MethodsBetween August 2018 and August 2020, 78 pregnant women were admitted to this hospital， who were enrolled in this study. According to the pathological results, the subjects were divided into group A(34 cases with placenta previa and placenta accreta) and group B(44 cases with placenta previa but without placenta accreta). In group A, there were 11 cases of adhesion type, 14 cases of accrete type and 9 cases of penetrating type. The prenatal ultrasonographic scores of different groups and pregnant women with different types of accreta were compared, and the clinical value of prenatal ultrasonographic score in diagnosing placenta previa with placenta accreta was analyzed.ResultsThe prenatal ultrasonographic scores of group A and group B were (3.85±0.54) and (0.35±0.11). It was found that group A had significantly higher scores than group B(P>0.05). The prenatal ultrasonographic scores of adhesion type, accreta type and penetrating type were (3.69±0.74), (3.88±0.56), and (3.91±0.65), showing no statistically significant differences(P>0.05). The diagnostic sensitivity, specificity, positive predictive value, and negative predictive value of prenatal ultrasonographic score in placenta previa with placenta accreta were 94.11%,93.18%, 91.42%, and 95.34%, respectively.ConclusionPregnant women with placenta previa and placenta accreta have significantly higher prenatal ultrasonographic scores than others, suggesting that the prenatal ultrasonographic score has relatively high value in the diagnosis of placenta previa with placenta accreta.

Key words:

Placenta previa, Placenta accreta, Pregnant women, Prenatal ultrasonographic scoring system

范娜. 产前超声征象评分法对胎盘前置植入的临床诊断价值评估[J]. 中国中西医结合儿科学, 2021, 13(6): 519-521.

FAN Na. . Clinical diagnostic value of prenatal ultrasonographic scoring system in placenta previa with placenta accrete[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(6): 519-521.