目前在澳大利亚实践的胎盘带插入文档 - - 一个超声波测试调查
Samantha Ward1, Zhonghua Sun1, Sharon Maresse1
1Discipline of Medical Radiation Science, Curtin Medical School Curtin University Perth Western Australia Australia.
Australasian journal of ultrasound in medicine
|September 13, 2023
概括
澳大利亚的超声波学家经常在解剖扫描中记录胎盘带插入 (PCI),但在正式报告中并不一致. 从11周开始的PCI文档标准化可以通过识别像vasa praevia这样的风险来改善母亲和胎儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 医疗成像医学成像
- 胎儿医学 胎儿医学
背景情况:
- 胎盘带插入 (PCI) 位置 (中心,偏心,边缘,膜) 在怀孕期间至关重要.
- 异常的PCI,特别是状的,与严重的孕产妇和胎儿并发症有关,包括从前中产生的围产死亡率.
- 目前用于记录PCI的产前超声波实践有很大的差异.
研究的目的:
- 评估目前澳大利亚的胎盘带插入 (PCI) 文档的做法.
- 为了识别PCI文档协议和产前超声波报告中的变化.
主要方法:
- 一项前性横截面研究调查了在澳大利亚认证的超声波专家.
- 一项在线调查分发给澳大利亚声学家认证注册表的成员.
- 从490名符合条件的超声波医生收集了数据,重点关注他们的经验和工作场所环境.
主要成果:
- 大多数受访者 (89.6%) 报告PCI文档作为第二季度 (17-22周) 解剖扫描部门协议.
- 在不到50%的其他产科超声检查中,PCI文档是协议.
- 正式的超声报告包括PCI现场文档,比部门协议或超声波工作表要低得多.
结论:
- 建议将PCI现场文档标准化为部门协议和从怀孕11周开始的正式报告.
- 早期和一致的文档,无论插入的正常性如何,都可以帮助识别潜在的并发症.
- 实施标准化的PCI文档可以提高检测条件,如vasa praevia,改善围产期的结果.
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