ACCURACY AND SAFETY OF TRANSVAGINAL SONOGRAPHIC PLACENTAL LOCALIZATION

被引:65
作者
LEERENTVELD, RA
GILBERTS, ECAM
ARNOLD, MJCWJ
WLADIMIROFF, JW
机构
[1] Dept of Obstetrics/Gynecology, Erasmus University, Academic Hospital Dijkzigt, 3015 GD Rotterdam
关键词
D O I
10.1097/00006250-199011000-00006
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Transvaginal sonographic localization of the placenta was performed in 100 patients suspected of having placenta previa. Except in one patient, the diagnosis was confirmed at cesarean delivery in all cases of placenta previa found by sonography before delivery, resulting in a 93.3% predictive value of a positive test. The predictive value of a negative test was 97.6%; in two patients a low-insertion placenta diagnosed by sonography was found to be a placenta previa at delivery. The sensitivity and specificity of the technique were 87.5 and 98.8%, respectively. Although in some instances transvaginal sonography was performed during vaginal hemorrhage, aggravation of bleeding was never observed. Transvaginal sonographic localization of the placenta proved to be an accurate and safe diagnostic procedure.
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收藏
页码:759 / 762
页数:4
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