经腹与经会阴、经阴道超声联合诊断前置胎盘的对比研究.docVIP

精品论文 参考文献 经腹与经会阴、经阴道超声联合诊断前置胎盘的对比研究 牛春 　　（四川省达州市妇幼保健院 四川 达州 635000） 　　【摘要】 目的：对比探讨经腹与经会阴、经阴道超声诊断前置胎盘的效果与应用价值。方法：选取来我院进行分娩并确诊为前置胎盘的产妇138例作为研究对象，分别采取经腹部与会阴超声、经腹部与阴道超声联合方式进行诊断，并对两组诊断效果进行对比分析。结果：138例患者行经腹部与会阴超声联合诊断，126例患者被确诊为前置胎盘，诊断符合率为91.3%；138例患者行经腹部与阴道超声联合诊断，130例患者被确诊为前置胎盘，诊断符合率为94.2%，比较差异不具有统计学意义（Pgt;0.05）。结论：经腹部与会阴超声联合和经腹部与阴道超声联合方式诊断前置胎盘的临床准确率均较高，均具有较高的临床应用价值，可为临床治疗提供可靠依据。 　　【关键词】 经腹超声；经会阴超声；经阴道超声；前置胎盘 　　【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2016）11-0063-02 　　The comparative study of the combined diagnosis of placenta and placenta by abdominal and perineal sonography Niu Chun. Maternal and Child health Care Hospital of Dazhou City, Sichuan Province, Dazhou 635000, China 　　【Abstract】 0bjective To explore the application value of the combined diagnosis of placenta with the abdominal and transvaginal ultrasound and transvaginal ultrasound.Methods 138 cases of pregnant women were selected as the research object, and 138 cases were treated by abdominal ultrasound and perineal ultrasound.Result 138 patients underwent abdominal ultrasound and perineal ultrasound diagnosis, 126 patients were diagnosed as placenta, the diagnosis rate was 91.3%, 138 patients underwent abdominal ultrasound and transvaginal ultrasound diagnosis, 130 patients were diagnosed as placenta, the diagnosis was 94.2%, the difference was not statistically significant (Pgt;0.05).Conclusion The clinical accuracy rate of the diagnosis of placenta placenta by abdominal ultrasound and perineal ultrasound is high, and the clinical application value is high, which can provide reliable basis for clinical treatment. 　　【Key words】Transabdominal ultrasound; Transperineal ultrasound;Transvaginal ultrasound,diagnosis; Placental presentation; Application value 　　前置胎盘是女性妊娠期较为严重的并发症之一，将导致妊娠晚期出血，严重影响孕妇和胎儿的生命健康[1]。因此，及时准确的对前置胎盘进行临床诊断，并积极给予早期临床干预，对于确保母婴健康具有重要的临床意义。笔者就对经腹与经会阴超声、经阴道超声联合诊断前置胎盘的效果与应用价值进行了对比分析研究，以期为临床准确诊断前置胎盘提供参考。 　　1.资料与方法 　　1.1 一般资料 　　选取2011～2014年来我院分娩并确诊为前置胎盘的产妇13