定量超声表现与病态附着性胎盘关系的评价。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Fatemeh Sadeghi Ardakani, Fatemeh Tara, Amir Mahmoud Ahmadzade, Nafiseh Saghafi, Farrokh Seilanian Toosi, Farzaneh Khoroushi, Maryam Emadzadeh, Sara Mirzaeian, Behzad Aminzadeh
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引用次数: 0

摘要

目的:超声检查在预测病态附着性胎盘发生率方面的准确性已被评价过。在本研究中,我们评估了彩色多普勒和灰度超声不同定量结果在预测病态附着性胎盘中的敏感性和特异性。材料和方法:在这项前瞻性队列研究中,所有孕周超过20周且有前胎盘和剖宫产史的孕妇被评估纳入研究。测量各种超声结果。评估非参数受试者工作特征曲线、曲线下面积和截止值。结果:120例患者最终纳入分析,其中15例为病态附着性胎盘。两组在血管数量上有显著差异。彩色多普勒超声在预测病态附着性胎盘时,两个以上伴有彩色血流的胎盘内透光带的敏感性和特异性分别为93%和98%。经灰度超声检查,13个以上的胎盘内透光区对预测病态附着性胎盘的敏感性为86%,特异性为80%。非胎儿表面>11 mm的超声区对病态附着性胎盘的检测灵敏度为93%,特异性为66%。结论:彩色多普勒超声定量结果对诊断病态附着性胎盘具有相当的敏感性和特异性。建议以两个以上带彩色流的回声带作为主要诊断参数,敏感性为93%,特异性为98%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Evaluation of the Relationship Between Quantitative Ultrasound Findings and Morbidly Adherent Placenta.

Evaluation of the Relationship Between Quantitative Ultrasound Findings and Morbidly Adherent Placenta.

Evaluation of the Relationship Between Quantitative Ultrasound Findings and Morbidly Adherent Placenta.

Aim: The accuracy of ultrasound findings in predicting the incidence of morbidly adherent placenta has been evaluated previously. In this study, we assessed the sensitivity and specificity of different quantitative findings of color Doppler and grayscale ultrasonography in predicting morbidly adherent placenta.

Material and methods: In this prospective cohort study, all pregnant women over 20 weeks of gestational age with anterior placenta and a history of previous cesarean section were evaluated for inclusion. Various ultrasound findings were measured. The non-parametric receiver operating characteristic curves, the area under the curve, and the cut-off values were assessed.

Results: A total of 120 patients were ultimately included for analysis, of whom 15 had morbidly adherent placenta. The two groups were significantly different regarding the number of vessels. Based on color Doppler ultrasonography, in predicting the morbidly adherent placenta, more than two intraplecental echolucent zones with color flow had 93% and 98% sensitivity and specificity, respectively. According to grayscale ultrasonography, more than thirteen intraplacental echolucent zones had the sensitivity and specificity of 86% and 80% in predicting morbidly adherent placenta, respectively. Echolucent zone >11 mm at non-fetal surface had a sensitivity of 93% and a specificity of 66% in detecting morbidly adherent placenta.

Conclusions: According to the results, the quantitative findings of color Doppler ultrasound have considerable sensitivity and specificity in detecting morbidly adherent placenta. More than two echolucent zones with color flow are recommended as the main diagnostic parameter indicating the presence of morbidly adherent placenta with a sensitivity of 93% and a specificity of 98%.

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来源期刊
Journal of Ultrasonography
Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.30
自引率
0.00%
发文量
58
审稿时长
20 weeks
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