二维超声联合彩色多普勒超声技术在产前诊断胎盘植入中的临床应用价值

朱牧 胡景梅

【摘要】 目的：探讨二维超声联合彩色多普勒超声技术在产前诊断胎盘植入中的临床应用价值。方法：选取2016年2月-2018年3月本院诊治的72例胎盘植入患者为观察组，同期选取72例健康孕妇为对照组。两组均采用二维超声联合彩色多普勒超声进行检查，比较两组的血流动力学检测结果，并比较观察组中不同孕周、植入程度与植入面积者的检测结果。结果：观察组的Vmax及Vmin均高于对照组，RI低于对照组，差异均有统计学意义（P<0.05）。观察组中不同孕周、植入程度、植入面积者的血流动力学检测结果比较，差异均有统计学意义（P<0.05）。结论：二维超声联合彩色多普勒超声技术在产前诊断胎盘植入中的临床应用价值较高，对植入程度有一定的反应意义。

【关键词】 二维超声; 彩色多普勒超声技术; 产前诊断; 胎盘植入

【Abstract】 Objective：To investigate the clinical application value of two dimensional ultrasound combined with color Doppler ultrasound technique in the prenatal diagnosis of placenta implantation.Method：72 patients with placenta implantation in our hospital from February 2016 to March 2018 were selected as observation group，72 healthy pregnant women at the same time were selected as control group.The two groups were all detected with two dimensional ultrasound combined with color Doppler ultrasound，then the hemodynamics detection results of two groups were compared，and the detection results of observation group at different gestational weeks and with degree of implantation and area of implantation were compared too.Result：Vmax and Vmin in the observation group were higher than those in the control group，while RI was lower than that in the control group，the differences were statistically significant（P<0.05）.The hemodynamic test results of the observation group with different gestational weeks，implantation degree and implantation area were compared，the differences were statistically significant（P<0.05）.Conclusion：The clinical application value of two dimensional ultrasound combined with color Doppler ultrasound technique in the prenatal diagnosis of placenta implantation is higher，and it has a certain response significance for the degree of implantation.

【Key words】 Two dimensional ultrasound; Color Doppler ultrasound technique; Prenatal diagnosis;Placenta implantation

First-authors address：The First Peoples Hospital of Zhaotong City，Zhaotong 657000，China

doi：10.3969/j.issn.1674-4985.2019.08.039

胎盘植入的危害較大，是产科严重并发症之一，可导致产妇产后大出血、子宫穿孔、感染及其他多类危害，甚至可导致产妇死亡，故胎盘植入的防控与诊治一直是产科的重点[1-2]。临床中对于本病的诊断研究多见，且较多研究认为其诊断有一定的难度，因此找到价值较高的诊断方式，以为治疗提供依据的意义较高。临床中以二维超声与彩色多普勒超声用于产前诊断胎盘植入的研究可见，但是研究结果参差不齐，效果差异较大[3]。因此，本研究就二维超声联合彩色多普勒超声技术在产前诊断胎盘植入的临床应用价值进行进一步细致探究，现报道如下。

1 资料与方法

1.1 一般资料 选取2016年2月-2018年3月本院诊治的72例胎盘植入患者为观察组，同期选取72例健康孕妇为对照组。纳入标准：年龄20～40岁;所有产前检查于本院进行者。排除标准：合并其他妊娠期疾病者;产前合并其他疾病者;双胎者;精神病史。……