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目的研究总结运用超声诊断胎盘早剥在临床中的各种超声影像表现和其诊断手法,并剖析在临床诊断时出现漏诊、误诊的原因。方法在2008年1月～2012年5月我院收治了58例胎盘早剥住院患者,均对其进行了产前的超声诊断,本文根据这58例患者超声影像资料进行回顾性分析。结果在本组的58例胎盘早剥患者中,有45例是通过产前超声检查诊断出为胎盘早剥的,其临床中的正确诊断为77.59%。在全部胎盘早剥患者中,有35例是经一次超声诊断确诊的,临床中的正确诊断率为60.34%,而在本组资料中,出现11例漏诊,漏诊率为18.97%,出现3例误诊,误诊率为5.17%。在误诊的3例中,胎盘内血窦2例,副胎盘1例。结论在胎盘早剥的临床治疗中,超声检查是其在临床诊断中最重要的诊断方法和辅助方式,出现特殊的临床体征时需配合运用动态超生监测,能够提高临床诊断的及时性、准确性。
OBJECTIVE: To summarize the various ultrasonographic findings and diagnostic techniques for the diagnosis of placental abruption using ultrasound and to analyze the causes of misdiagnosis and misdiagnosis in clinical diagnosis. Methods From January 2008 to May 2012, 58 cases of placental abruption hospitalized in our hospital were treated with prenatal ultrasound diagnosis. Based on the 58 cases of ultrasound image data were retrospectively analyzed. Results In the group of 58 cases of placental abruption patients, 45 cases were diagnosed by prenatal ultrasound for placental abruption, the correct diagnosis of its clinical was 77.59%. In all placental abruption patients, 35 cases were diagnosed by an ultrasound diagnosis, the correct diagnosis rate was 60.34%, while in this group of data, 11 cases of missed diagnosis, the rate of misdiagnosis was 18.97%, there were 3 cases Misdiagnosis, misdiagnosis rate was 5.17%. Misdiagnosed in 3 cases, 2 cases of placental sinus, paracental in 1 case. Conclusion In the clinical treatment of placental abruption, ultrasonography is the most important diagnostic method and auxiliary method in clinical diagnosis. In the presence of special clinical signs, dynamic ultrasound monitoring should be combined to improve the timeliness and accuracy of clinical diagnosis .