彩色多普勒超声对帆状胎盘的漏诊与误诊分析 |
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引用本文: | 初航,单诗山,苑丽,张彦.彩色多普勒超声对帆状胎盘的漏诊与误诊分析[J].航空航天医药,2014(10):1361-1362. |
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作者姓名: | 初航 单诗山 苑丽 张彦 |
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作者单位: | 北京航空总医院超声科,北京,100012 |
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摘 要: | 目的:探讨彩色多普勒超声对帆状胎盘的诊断及漏诊。方法回顾性分析本院2010年1月-2013年5月超声产前筛查的8000例孕妇,观察脐带附着的部位,胎盘的血流分布,了解有无帆状胎盘及是否合并血管前置。结果经产前超声检查疑诊断帆状胎盘22例,胎盘血管前置2例,后经结合临床手术确诊15例,超声误诊4例,漏诊3例,其中包括双胎一例。结论彩色多普勒超声是诊断帆状胎盘的首选方法,但受一系列因素的影响,易存在漏诊与误诊。
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关 键 词: | 彩色多普勒 帆状胎盘 血管前置 漏诊 |
Color Doppler Ultrasound Miss ed Diagnosis and Misdiagnosis of the Velamentous Placenta |
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Institution: | CHU Hang, SHAN Shishan, YUAN Li, et al.( Beijing Aerospace General Hospital,Beijing 100012 ) |
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Abstract: | Objective To study the clinical value and missed diagnosis of the color Doppler ultrasound in finding vel -amentous placenta.Methods From January 2010 to Friday 2013 ,a total of 8000 prenatal ultrasound screening of preg-nant women were retrospectively analyzed in this study ,observed with those parts of the umbilical cord and placenta blood flow distribution ,understand whether a merger velamentous placenta and vasa praevia.Rseults Ultrasound diagnos is of 22 cases of velamentous placenta ,velamentous cord insertion and vasa praevia in 2 cases ,Combining with surgery diagno-sis in 15 cases ,ultrasound misdiagnosis in 4 cases ,3 cases missed, including one case of twins.Conclusions Color missed diagnosis and misdiagnosis exists. |
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Keywords: | Color Doppler ultrasound Velamentous placenta Vessel previa Missed diagnosis |
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