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论文摘要

常规超声联合超声造影诊断胎盘植入的应用价值

Convention Ultrasound and Contrast-enhanced Ultrasound Imaging in the Diagnosis of Placenta Implantation

作者:熊雯, 罗红

Author:XIONG Wen, LUO Hong

收稿日期:          年卷(期)页码:2017,48(2):253-256

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:超声造影 造影剂 胎盘残留 胎盘植入

Key words:Contrast-enhanced ultrasound Ultrasound contrast agents Retained placental tissue

基金项目:

中文摘要

【摘要】 目的 探讨常规超声、超声造影以及两者联合诊断胎盘植入的应用价值。方法 收集2013年4月至2016年3月经手术病理诊断为胎盘残留的患者112例,根据病理诊断分为非植入组(n =38)和植入组(n =74)。比较两组常规超声、超声造影特征的区别,以多因素logistic回归建立判别式并比较三种方法预报胎盘残留是否伴有植入的准确性,比较三种方法ROC曲线的曲线下面积(AUC )。结果 常规超声检查发现宫腔内病灶,发现病灶与周围子宫肌层的分界是否清楚在两组间差异有统计学意义(P P P )判别式的预报准确性(92.0%)高于常规超声(87.5%),差异有统计学意义(P P

英文摘要

【Abstract】 Objective To determine the value of conventional ultrasound (US) and contrast-enhanced ultrasound (CEUS) in the diagnosis of placenta residue with implantation. Methods We retrospectively analyzed 112 cases of placenta remnants from Apr. 2013 to Mar. 2016, all of which were confirmed by pathological results. The cases were divided into implanted (n =74) and non-implanted (n =38) groups. We compared the characteristics of US and CEUS imaging between the two groups. Multi-variate logistic regression models were established to assess the accuracy of ultrasound imaging in predicting implantation, including the area under the curve (AUC ) of receiver operating characteristic (ROC) curves. Results US detected intrauterine lesions, with significant differences between the two groups in the clearness of boundaries of lesions (P P P AUC of CEUS (0.922) and US+CEUS (0.952) were also significantly higher than that of US (0.887) (P

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