| 张茂春,张红薇,陈 娇,郭媛媛,罗 娜.产前超声征象评分联合肌酸激酶对前置胎盘合并胎盘植入的诊断价值分析[J].,2018,(18):3563-3567 |
| 产前超声征象评分联合肌酸激酶对前置胎盘合并胎盘植入的诊断价值分析 |
| Diagnostic Value Analysis of Prenatal Ultrasonographic Signs Score Combined with Creatine Kinase for Placenta Previa Combined with Placenta Implantation |
| 投稿时间：2018-04-08 修订日期：2018-04-30 |
| DOI：10.13241/j.cnki.pmb.2018.18.037 |
| 中文关键词: 诊断价值 肌酸激酶 超声征象评分 前置胎盘 胎盘植入 |
| 英文关键词: Diagnostic value Creatine kinase Ultrasonographic signs score Placenta previa Placental implantation |
| 基金项目:四川省卫生厅科研基金项目（1101265） |
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| 中文摘要: |
| 摘要 目的：探讨肌酸激酶（CK）联合产前超声征象评分对前置胎盘合并胎盘植入的诊断价值。方法：选取2017年1月到2017年12月期间在我院行剖宫产分娩的106例前置胎盘患者，根据有无胎盘植入分为植入组（46例）和未植入组（60例），另选取同期在我院行剖宫产分娩的健康产妇60例作为对照组。比较植入组和未植入组的产后出血、新生儿1 min Apgar评分、子宫全切或次全切除。比较三组研究对象的产前超声征象评分和血清CK水平。以临床手术和(或)病理结果为金标准，分析CK、产前超声征象评分单独检测及二者联合对前置胎盘合并胎盘植入的诊断价值。结果：植入组有产后出血、新生儿1 min Apgar评分≤7分、有子宫全切或次全切除的发生率均高于未植入组（P<0.05）。植入组的产前超声征象评分和血清CK水平高于未植入组和对照组（P<0.05），未植入组和对照组的产前超声征象评分和血清CK水平比较无统计学差异（P>0.05）。产前超声征象评分联合CK的敏感度高于产前超声征象评分、CK单独检测（P<0.05），产前超声征象评分、CK及产前超声征象评分联合CK对前置胎盘合并胎盘植入的特异性、阳性预测值、阴性预测值比较无统计学差异（P>0.05）。结论：CK与产前超声征象评分联合检测对前置胎盘合并胎盘植入具有较高的诊断价值。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the diagnostic value of prenatal ultrasonographic signs score combined with creatine kinase (CK) for placenta previa combined with placenta implantation. Methods: 106 patients with placenta previa who were undergone cesarean section in our hospital from January 2017 to December 2017 were selected. According to whether there were placenta implantation, they were divided into implantation group (46 cases) and non implantation group (60 cases). Another 60 healthy pregnant women who were undergone cesarean section in our hospital during the same period were selected as control group. Postpartum hemorrhage, total or subto- tal hysterectomy and 1 min Apgar score of the neonate were compared between the implantation group and the non implantation group. The prenatal ultrasonographic signs score and serum CK level of research objects between the three groups were compared. Based on the gold standard of clinical operation and / or pathological results, the diagnostic values of prenatal ultrasonographic signs score, CK and the combination of the two for placenta previa combined with placenta implantation were analyzed. Results: The incidence of postpartum hemorrhage, total or subtotal hysterectomy and 1 min Apgar score ≤7 scores of the neonate in the implantation group was higher than those in the non implantation group (P<0.05). The prenatal ultrasonographic signs score and serum CK level in the implantation group were significantly higher than those in the non implantation group and the control group (P<0.05). There was no statistically significant difference in prenatal ultrasonographic signs score and serum CK level between the non implantation group and the control group (P>0.05). The sensitivity of prenatal ultrasonographic signs score combined with CK was higher than that of prenatal ultrasonographic signs score and CK alone(P<0.05), there were no significant difference in the specificity, positive predictive values and negative predictive values of prenatal ultrasonographic signs score, CK and prenatal ultrasonographic signs score combined with CK for placenta previa combined with placenta implantation(P>0.05). Conclusion: Prenatal ultrasonographic signs score combined with CK has high diagnostic value for placenta previa with placenta implantation. |
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