河北医学2011，Vol.17Issue(5)：629-631,3.DOI:10.3969/j.issn.1006-6233.2011.05.023
植入性胎盘产前诊断
Prenatal Diagnosis of Placenta Accreta
邹晓琴 1叶卫莲 1黄友琼 1吴京 1李丹妍1
作者信息
- 1. 汕头大学医学院第二附属医院妇产科,广东,汕头,515000
- 折叠
摘要
Abstract
Objective: To investigate the prenatal diagnosis of placenta, futher reduce risk of delivery.Method: Experimental group included 23 cases of placenta accreta who delivered form in our hospital Jan.2007 to Dec. 2009, diagnosed by clinical and pathological; Control group included 30 cases randomly selected of placenta accreta in the same period, belly color doppler ultrasonography, the serum enzyme creatine ( CK ) and serum fetoprotein ( AFP) of the two groups were detected and compared at before delivery. Resuits: Prenatal doppler examination of experimental group prompted 13 patients with placenta accreta (56.5％ ), serum creatine enzyme (CK) increased in 14 cases 160.9％ ), serum c fetoprotein (AlP) rised in 17 cases ( 73.9％ ), significantly higher than the proportion of control group. The difference was statistically siguifieant ( p ＜0.01 ); patients with placenta accrete accept appropriate and effective conservative and non conservative treatment, with satisfactory efficacy, outcome no maternal and infant death. Conclusion: The implantation of the placenta could be detected by color doppler ultrasonography, serum creatine kinase ( CK )and serum α fetoprotein ( AFP) testing for prenatal diagnosis . If color doppler ultrasound could not found placenta aecreta, It should be guarded when serum creatine kinase ( CK) or serum at fetoprotein ( AFP) increased . Color doppler ultrasound examination, serum creatine kinase ( CK ) and serum a fetal ball protein (AFP) detection can significantly improve prenatal diagnosis of placenta accreta rate, siguificanfly reduce risk of childbirth.关键词
植入性胎盘/产前诊断Key words
Placenta accreta/ Prenatal diagnosis引用本文复制引用
邹晓琴,叶卫莲,黄友琼,吴京,李丹妍..植入性胎盘产前诊断[J].河北医学,2011,17(5):629-631,3.
