摘要
目的探讨彩色多普勒超声诊断产前脐带人口异常的临床价值。方法选取2014年6月至2015年6月在我院进行产前超声检查的484例孕妇，其中诊断为脐带人口异常的孕妇32例，并对她们的情况进行分析，为临床产前脐带入口异常孕妇的诊断提供科学的参考依据。结果32例诊断异常孕妇中，其中有28例诊断为边缘性胎盘脐带入口（球拍状胎盘），占比为87．5％（28／32）；有4例诊断为帆状胎盘，占比为12．5％（4／32）。32例诊断异常孕妇进行产后临床病理检查，发现边缘性脐带人口异常的孕妇27例，帆状胎盘脐带入口3例，经彩色多普勒超声检查结果符合率达93．75％（30／32）。结论彩色多普勒超声检查应用于孕妇产前脐带人口异常具有无创、安全性高、诊断准确性高等优点；医生根据其诊断结果可以给孕妇给以相应的生产方式提供良好的建议，可以明显提高婴儿出生的健康率，值得临床推广应用。
Objective To investigate clinical value of color Doppler ultrasound in the diagnosis of abnormal umbilical cord inlet. Methods 484 cases of pregnant women who underwent prenatal ultrasound examination in our hospital from June 2014 to June 2015 were selected, in whom 32 cases of pregnant women were diagnosed with abnormal umbilical cord inlet, analyzed their clinical data to provide scientific reference for prenatal diagnosis of abnormal umbilical cord inlet. Results In 32 abnormal pregnant women, there were 28 cases of marginal placenta and umbilical cord inlet （battledore placenta）, accounting for 87.5% （28/32）; 4 cases of velamentous placenta, accounting for 12.5% （4/32）. 32 abnormal pregnant women underwent postpartum clinical and pathological examination, 27 cases of marginal abnormal umbilical cord inlet and 3 cases of velamentousplacenta and umbilical cord inlet were lbund. The coincidence rate was 93.75% （30/32） by color Doppler ultrasound. Conclusions Color Doppler ultrasound in the prenatal diagnosis of abnormal umbilical cord inlet is nouinvasivc, with high safety and diagnosis accuracy. Doctor can provide good suggestion for pregnant women about the appropriate mode of production according to the diagnosis result, which can significantly improve the healthy rate of born babies, worthy of clinical application.
出处
《国际医药卫生导报》
2016年第11期1615-1617,共3页
International Medicine and Health Guidance News
关键词
彩色多普勒超声
脐带入口异常
产前
Color Doppler ultrasound
Abnomlal umbilical cord inlet
Prenatal
