协和医学杂志2024，Vol.15Issue(4)：862-866,5.DOI:10.12290/xhyxzz.2024-0171
子宫动脉血流联合多参数对胎盘植入性疾病的诊断价值研究
Value of Uterine Artery Blood Flow Associated with Multiple Parameters in the Diagnosis of Placenta Accreta Spectrum Disorders
摘要
Abstract
Objective To explore the application value of uterine artery blood flow associated with mul-tiple parameters in the diagnosis of placenta accreta spectrum disorders.Methods This study was a retrospec-tive cohort study.Pregnant women diagnosed with placenta previa were selected from Beijing Obstetrics and Gynecology Hospital,Capital Medical University,from January 2017 to December 2021.The general informa-tion,past history,antenatal information[including pulsatility index(PI)of uterine artery,ultrasonic signs,etc.]and operation information of the pregnant women were obtained through the hospital electronic medical re-cord system.According to the results of operation,the patients were divided into accreta group and non-accreta group.The diagnostic value of uterine artery PI associated with multiple parameters in the placenta accreta spec-trum disorders was analysed.Results A total of 80 pregnant women were divided into accreta group(34 ca-ses)and non-accreta group(46 cases)according to the inclusion and exclusion criteria.Compared with the non-accreta group,the age of pregnant women in the accreta group(P=0.017)and history of cesarean section(P＜0.001)significantly increased,and the mean PI of uterine artery significantly decreased(P=0.006).There were significant differences in ultrasonic signs such as local interruption or disappearance of the posterior placental lower vocal cords(P＜0.001),abundant blood flow after placenta(P＜0.001),and interruption or disappearance or irregularity of the boundary of the uterus and bladder(P=0.003).The area under the ROC curve of uterine artery PI,cesarean section history and ultrasonic signs in the diagnosis of placenta accreta spectrum disorders was 0.96(95%CI:0.93-0.99),the sensitivity was 97.06%(95%CI:91%-100%),and the specificity was 65.22%(95%CI:51%-79%).Conclusions Uterine artery blood flow PI associated with multiple parameters has high sensitivity in the prediction of placenta accreta spectrum disor-ders,which is helpful in the early detection of this disease.关键词
子宫动脉/血流动力学/胎盘植入性疾病/诊断Key words
uterine artery/hemodynamics/placenta accreta spectrum disorders/diagnose分类
医药卫生引用本文复制引用
王珊珊,王莉,吴青青,张娜..子宫动脉血流联合多参数对胎盘植入性疾病的诊断价值研究[J].协和医学杂志,2024,15(4):862-866,5.基金项目
北京市科委首都市民健康培育项目(Z161100000116089) Beijing Municipal Science and Technology Commission Capital Citizen Health Cultivation Project(Z161100000116089) （Z161100000116089）
