刘微 冯雪 王微

【摘 要】目的：分析产前胎盘植入诊断中应用三维能量多普勒血管成像的临床价值。方法：病例采集时间在2017年3月-2018年12月，研究对象为该时间段内我院收录的38例孕产妇，所有孕产妇均被术后确诊为胎盘植入，依据诊断方法将孕产妇分为两组，即19例对照组（二维彩色多普勒超声诊断）、19例实验组（三维能量多普勒血管成像诊断），比较两组孕产妇的诊断准确度、灵敏度、特异度。结果：两组孕产妇诊断结束后，实验组诊断准确度、灵敏度、特异度的数值更高。结论：将三维能量多普勒血管成像应用于产前胎盘植入的孕产妇中，可以有效的减少诊断误诊与漏诊，提高诊断准确度、灵敏度、特异度，为疾病的评估与治疗提供有价值的参考依据。

【关键词】三维能量多普勒血管成像;胎盘植入;诊断价值

Abstract：Objective To analyze the clinical value of three-dimensional energy Doppler angiography in the diagnosis of prenatal placenta implantation. Methods The case collection time was from March 2017 to December 2018. The study object was 38 pregnant women admitted to our hospital during this period. All pregnant women were diagnosed with placental implantation after operation. Divided into two groups， namely 19 cases of control group and 19 cases of experimental group. The diagnostic accuracy of the two groups was compared. Results After the maternal diagnosis was completed in the two groups， the diagnostic accuracy， sensitivity， and specificity of the experimental group were higher. Conclusion The application of three-dimensional energy Doppler angiography in pregnant women with prenatal placenta implantation can effectively reduce misdiagnosis and missed diagnosis， improve diagnostic accuracy， sensitivity， and specificity， and provide valuable information for disease evaluation and treatment Reference.

Key words： three-dimensional energy Doppler angiography

胎盤植入是孕产妇在妊娠过程中的严重并发症，主要是由于胎盘绒毛进入子宫肌层引起的，会导致孕产妇出现感染、大出血等临床症状，对孕产妇的生命健康存在严重的威胁。进行过引产、流产、剖宫产的孕产妇容易出现胎盘植入，所以应该针对存在高危因素的产妇进行产前诊断，对分娩方式、分娩时间进行合理的选择，以此降低产后出血、围生期子宫切除的风险，改善孕产妇的预后。由于胎盘植入在产前的临床表征缺乏特异性，所以诊断起来较为困难，彩色多普勒超声是诊断胎盘植入的常用手段，以往我国普遍采用二维多普勒超声诊断方案，虽然可以取得一定的诊断结果，但是极易出现漏诊、误诊的情况。……