Zhu Yan Ling , Niu Zhao Yi , Jin Qing , Li Li Rong , Ma Xiong Tao , Ma Yong Hong . The Value of Prenatal Diagnosis of Ultrasonographic Scoring System in Placenta Previa with Placenta Accrete[J]. Journal of Kunming Medical University, 2018, 39(04): 113-116.
Citation: Zhu Yan Ling , Niu Zhao Yi , Jin Qing , Li Li Rong , Ma Xiong Tao , Ma Yong Hong . The Value of Prenatal Diagnosis of Ultrasonographic Scoring System in Placenta Previa with Placenta Accrete[J]. Journal of Kunming Medical University, 2018, 39(04): 113-116.

The Value of Prenatal Diagnosis of Ultrasonographic Scoring System in Placenta Previa with Placenta Accrete

Funds:

基金: 国家自然科学基金资助项目 (8156040189);

  • Received Date: 2018-01-21
  • Objective To summarize the characteristics of PPP disease complex with placenta implication and explore the value of prenatal ultrasonographic scoring system in placenta prevlia complicate with placenta accrete.Me thods An retrospective analysis was conducted among 179 case of ultrasound images of pernicious placenta previa complicate with placenta accrete, and the results of postpartum were compared. Based on clinical surgery and/or pathological results as the gold standard, all cases were divided into adhesive placenta accreta group and non-adhesive placenta accreta group. Re s ults Logistic regression identified six sonographic parameters, including placenta thickness, obliteration of retroplacental hypoechoic space, smallest sagittal myometrial thickness, presence of abnormal vessels linking the placenta to the bladder, lacunar flow distributed within intraparenchymal placenta area and the cervical form. Different scores were assigned according to the odds ratio of these parameters.The critical score of the ultrasound score of adhesive placenta accreta and non-adhesive placenta was 6 points.Conclus ions Prenatal ultrasonographic scoring system is a reliable method to diagnose the degree of the accretion in pernicious placenta previa complicate with placenta accrete.
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