PreoperativepredictionofmassivepostpartumhemorrhageinplacentapreviabyMRI
10.3969/j.issn.1002-1671.2019.05.021
- VernacularTitle:术前MRI在预测前置胎盘患者发生严重产后出血中的应用
- Author:
Jimin GUO
1
;
Manrui CAO
;
Fangjing ZHANG
;
Yang LIU
;
Wei LU
;
Guangrong FAN
Author Information
1. 南方医科大学附属深圳市妇幼保健院放射科
- Keywords:
magneticresonanceimaging;
placentaprevia;
massivepostpartumhemorrhage
- From:
Journal of Practical Radiology
2019;35(5):772-775
- CountryChina
- Language:Chinese
-
Abstract:
Objective ToinvestigatethevalueofpreoperativeMRIforplacentapreviainpredictionofmassivepostpartumhemorrhage. Methods AretrospectiveanalysisoftheclinicalhistoryandprenatalMRIfeaturesof362patientswithplacentapreviawereperformed. Ofthese,54casesexperiencedseverepostpartum hemorrhage.Results Univariateanalysisshowedthattheageofpregnantwomen (χ2＝3.951,P＝0.047),gestationalage(χ2＝6.257,P＝0.012),numberofcesareansections(χ2＝36.372,P＝0.001)andgemellary pregnancy(χ2＝7.933,P＝0.005)wereassociated with massivepostpartum hemorrhage.Amongthe MRIsigns,Uterinebulging (OR,46.712;95%CI,13.067－166.987),placentalprotrusionsign (OR,22.787;95% CI,4.595－113),andintroplacentalT2dark band(OR,14.757;95%CI,7.149－30.461)indicatedhighriskwithmassivepostpartumhemorrhage.Myometrialthinningorlocalized interruption,unevenplacentalsignal,abnormalbloodvesselsbelowtheplacenta,abundantbloodvesselsinloweruterusandcervix, cervicalshorteningandothersignsfortheevaluationofseverepostpartumhemorrhagewerealsostatisticallysignificant.Conclusion MRIcanpredictmostoftheseverepostpartumhemorrhagebeforesurgeryandisveryhelpfultoimprovethepatientprognosis.
