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The effect of color Doppler ultrasonography for diagnosing postpartum placenta increta and its sonographic features |
1.The First Central Hospital of Baoding, Hebei Province, 071000;2. Anguo Hospital, Baoding, Hebei Province |
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Abstract To study the effect of color Doppler ultrasonography for diagnosing postpartum placenta increta, and to analyze its sonographic features. Methods: The clinical data of 30 women with diagnosed postpartum placenta implantation from February 2019 to February 2020 were collected. All these women had accepted color Doppler and magnetic resonance imaging (MRI) examination before delivery. Based on the postpartum placental tissue pathological results, the effect of diagnostical placenta increta was compared between color Doppler and MRI, and the sonographic features by color Doppler and MRI were analyzed. Results: The sensitivity of color Doppler for diagnosing placenta increta was 91.2%, which was significant higher than that (82.5%) of MRI (P<0.05), but the diagnostic accuracy, the specificity, the negative predictive value, the positive predictive value, the false positive rate, the false negative rate, the exact ratio, the diagnostic index, and Kappa value had no significant different between color Doppler and MRI (P>0.05). In 30 women who had examined by color Doppler, there was 1 case misdiagnosed as placental adhesion. Conclusion: The value of color Doppler ultrasound for diagnosing placenta increta is similar to that of MRI, which can provide reliable evidence for clinical treatment of placenta increta.
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