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目的:探讨彩色超声诊断疤痕子宫合并前置胎盘并植入的临床价值。方法:回顾性分析2011年4月-2015年4月我院收治的82例疤痕子宫合并前置胎盘患者的彩色超声诊断临床资料,同手术病理结果进行比较,判断患者是否存在胎盘植入,分析患者膀胱、胎盘、子宫等具体超声图像特征。结果:82例患者中彩超确定胎盘植入42例(51.2%),手术病理确诊39例,另40例未提示胎盘植入患者中,手术病理确诊8例。胎盘与子宫肌层分解模糊,且逐渐增厚,胎盘内存在血窦,胎盘及其周边血运较丰富。结论:彩色超声诊断疤痕子宫合并前置胎盘并植入准确率较高,具有积极的临床使用和推广价值。
Objective: To investigate the clinical value of color sonography in diagnosing scarring uterus with placenta previa and implantation. Methods: The clinical data of 82 cases of uterus with placenta previa combined with placenta previa diagnosed in our hospital from April 2011 to April 2015 were retrospectively analyzed. The results were compared with the results of surgery and pathology to determine if there was placenta accreta. Patients with bladder, placenta, uterus and other specific ultrasound image characteristics. Results: Among 82 patients, 42 cases (51.2%) were confirmed by color Doppler ultrasound, 39 cases were diagnosed by pathology, and the other 40 cases were not implanted placenta accreta. There were 8 cases diagnosed by operation pathology. The placenta and myometrium decompose and become fuzzy, and gradually thicken. Serum is present in the placenta, and placenta and peripheral blood are abundant. Conclusions: Color ultrasound in the diagnosis of uterine scar with placenta previa and implantation of a high accuracy, with a positive clinical use and promotion of value.