摘要
目的探讨核磁共振(MRI)对产前胎盘植入的诊断价值。方法选取2013年1月至2014年12月在郑州大学第一附属医院疑诊为胎盘植入并行MRI检查的患者60例,以术中所见或病理诊断结果为诊断胎盘植入的金标准,回顾性分析MRI对胎盘植入患者的诊断符合率。结果 60例疑诊患者中经确诊胎盘植入49例,经统计学分析发现胎盘植入、粘连型胎盘植入、植入型胎盘植入、穿透型胎盘植入的精确比与Kappa值分别为0.95、0.84;0.95、0.64;0.92、0.81;0.96、0.57。其Kappa值均大于0.4。结论 MRI在胎盘植入产前诊断中的价值值得肯定,可作为产前诊断胎盘植入的重要方法。
Objective To evaluate the value of MRI in the prenatal diagnosis of placental implantation abnormality. Methods 60 patients suspected as placental implantation abnormality and performed by prenatal MRI were selected in the First Affiliated Hospital of Zhengzhou University from January of 2013 to December of 2014. The gold standard of the diagnosis of placental implantation abnormality was the surgery and pathological diagnosis. The coincidence rate of MRI was retrospectively analyzed. Results 49 abnormal placental implantation patients were conformed in the 60 suspected patients. The statistical analysis showed that the accurate ratio and Kappa values of placental implantation abnormality and placental, adhesive and penetrative placental implantation abnormality, were 0. 95, 0. 84 ; 0. 95, 0. 64 ; 0. 92, 0. 81 ; 0. 96, 0. 57. The kappa values were all greater than O. 4. Conclusion The value of MRI in the diagnosis of abnormal placental implantation is worth affirmation. MRI can be used as an important method for placental implantation abnormality.
出处
《河南医学研究》
CAS
2015年第12期15-17,共3页
Henan Medical Research
关键词
胎盘植入
核磁共振
产前诊断
placental implantation abnormality
MRI
prenatal diagnosis
