|本期目录/Table of Contents|

[1]甘 玲,李海英,刘新秀,等.产后胎盘滞留的超声造影声像表现及临床指导意义[J].福建医科大学学报,2019,53(02):120-123.
 GAN Ling,LI Haiying,LIU Xinxiu,et al.Contrast-Enhanced Ultrasound Imaging of Postpartum Placenta Retention and its Clinical Guiding Significance[J].Journal of Fujian Medical University,2019,53(02):120-123.
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《福建医科大学学报》[ISSN:1672-4194/CN:35-1192/R]

卷:
第53卷
期数:
2019年02期
页码:
120-123
栏目:
临床研究
出版日期:
2019-04-30

文章信息/Info

Title:
Contrast-Enhanced Ultrasound Imaging of Postpartum Placenta Retention and its Clinical Guiding Significance
文章编号:
1672-4194(2019)02-0120-04
作者:
甘 玲 李海英 刘新秀 谢丽君 陈 玲 叶 真
福建医科大学 附属第一医院超声影像科,福州 350005
Author(s):
GAN Ling LI Haiying LIU Xinxiu XIE Lijun CHEN Ling YE Zhen
Department of Ultrasound,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China
关键词:
超声检查 胎盘 滞留 产后期 造影剂
Keywords:
ultrasonography placental retention postpartum contrast media
分类号:
R339.22; R714; R714.56
DOI:
-
文献标志码:
A
摘要:
目的 探讨产后胎盘滞留的实时灰阶超声造影声像表现及其临床指导意义。 方法 回顾性分析28例产后胎盘滞留(其中胎盘残留6例,粘连性胎盘6例,植入性胎盘16例)患者的常规超声表现及实时灰阶超声造影增强模式。 结果 产后胎盘滞留的超声造影增强模式分为快速高增强型、同步等或低增强型和无增强型。常规超声联合超声造影诊断胎盘残留、粘连性胎盘和植入性胎盘的符合率(25/28,89.29%)较常规超声(16/28,57.14%)高,差别有统计学意义(P<0.05)。 结论 实时灰阶超声造影有助于产后胎盘滞留原因的诊断与分析,为临床制定个性化治疗方案提供影像学依据。
Abstract:
Objective To explore the image of contrast-enhanced ultrasound(CEUS)in postpartum placental retention and its clinical significance. Methods We performed a retrospective analysis on 28 cases of postpartum placental retention(6 cases of placenta residue, 6 cases of adherent placenta, 16 cases of placenta increta )patients with conventional ultrasonography findings and contrast-enhanced ultrasound enhanced mode. Results Postpartum retention of placenta ultrasound imaging enhancement pattern was divided into three types: high rapid enhancement, synchronous or low enhanced, and not-enhanced. The coincidence rate of conventional ultrasonic combined CEUS in the diagnosis of placenta residue, placenta adhesion and placenta increta(89.29%,25/28)was significantly higher than conventional ultrasound(57.14%, 16/28)(P<0.05). Conclusion CEUS is helpful in diagnose of postpartum placental retention, for better understanding of its courses, and it may help with providing personalized treatment options with imaging date.

参考文献/References:

[1] 杨建兰. 产后胎盘滞留的原因及处理效果观察[J].中国实用医药,2016,11(5):176-177.
[2] Leyendecker J R,Dubose M,Hosseinzadeh K,et al. MRI of pregnancy-related issues: abnormal placentation[J]. AJR Am JR Oentgenol,2012,198(2):311-320.
[3] 颜志平,邝 菲,苏素联,等. 产后胎盘植入的影像学表现及病理对照[J]. 磁共振成像,2015,6(6):450-454.
[4] 陈 萍,常 才. 侵入性胎盘的影像学诊断[J]. 实用妇产科杂志,2008,24(12):709-710.
[5] 王 辉,张建华,吴味辛. 植入性胎盘23例临床分析[J]. 实用妇产科杂志,2005,21(2):93-95.
[6] 戴钟英. 侵入性胎盘的命名、发生率及病因[J]. 实用妇产科杂志,2008,24(12):705-707.
[7] Bauer S T,Bonanno C. Abnormal placentation[J]. Semin Pernatol,2009,33(2):88-96.
[8] 熊 雯,罗 红.常规超声联合超声造影诊断胎盘植入的应用价值[J]. 四川大学学报,2017,48(2):253-256.
[9] 丁 红,罗葆明,王蕴慧,等.超声造影对产后胎盘植入分型诊断的探讨[J]. 中华超声影像学杂志,2013,22(4):337-339.
[10] 应 豪,王德芬. 植入性胎盘的保守治疗[J]. 实用妇产科杂志,2008,24(12):710-712.
[11] 王志坚,卫焱星. 胎盘植入保守治疗[J]. 中国实用妇科与产科杂志,2014,30(6):415-418.
[12] 何丽丹,陈丽红,吴建波,等. 子宫动脉插管化疗栓塞术治疗产后胎盘植入伴感染[J]. 中国介入影像与治疗学,2016,13(8):468-471.
[13] Hayes E,Ayida G,Crocker A. The morbidly adherent placenta:diagnosis and management options[J].Curr Opin ObstetGynecol,2011,23(6):448-453.

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备注/Memo

备注/Memo:
收稿日期: 2018-06-24 作者简介: 甘 玲,女,副主任医师,医学硕士. Email: fzzht@sina.com
更新日期/Last Update: 2019-05-20