کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3919600 1599794 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prediction of adherent placenta in pregnancy with placenta previa using ultrasonography and magnetic resonance imaging
ترجمه فارسی عنوان
پیش بینی جفت مرطوب در حاملگی با جفت قبلی با استفاده از سونوگرافی و تصویربرداری رزونانس مغناطیسی
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectiveAdherent placenta is a life-threatening condition in pregnancy, and is often complicated by placenta previa. The aim of this prospective study was to determine prenatal imaging findings that predict the presence of adherent placenta in pregnancies with placenta previa.Study designThe study included 58 consecutive pregnant women with placenta previa who underwent both ultrasonography and magnetic resonance imaging prenatally. Ultrasonographic findings of anterior placental location, grade 2 or higher placental lacunae (PL ≥ G2), loss of retroplacental hypoechoic clear zone (LCZ) and the presence of turbulent blood flow in the arteries were evaluated, in addition to MRI findings. Forty-three women underwent cesarean section alone; 15 women with adherent placenta underwent cesarean section followed by hysterectomy with pathological examination. To determine imaging findings that predict adherent placenta, univariate and multivariate logistic regression analyses were performed.ResultsUnivariate logistic regression analyses demonstrated that anterior placental location, PL ≥ G2, LCZ, and MRI were associated with the presence of adherent placenta. Multivariate analyses revealed that LCZ (p < 0.01, odds ratio 15.6, 95%CI 2.1–114.6) was a single significant predictor of adherent placenta in women with placenta previa.ConclusionThis prospective study demonstrated for the first time that US findings, especially LCZ, might be useful for identifying patients at high risk for adherent placenta among pregnant women with placenta previa.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 187, April 2015, Pages 41–44
نویسندگان
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