Nyberg D A, Mack L A, Benedetti T J, Cyr D R, Schuman W P
Radiology. 1987 Aug;164(2):357-61. doi: 10.1148/radiology.164.2.3299486.
Sixty-nine cases of placental abruption and placental hemorrhage detected with ultrasonography (US) were reviewed retrospectively to determine whether US findings correlate with fetal outcome. Four patients were lost to follow-up, and in the remaining 65 patients fetal outcome included demise in 12 cases (18%), termination of pregnancy in six (9%), premature delivery of a living infant in 15 (23%), term delivery of an infant who was small for gestational age in four (6%), and normal term delivery in 28 (43%). Fetal mortality correlated best with the estimated percentage of placental detachment, but was also significantly (P less than .01) associated with the location (retroplacental) and size (greater than 60 ml) of hemorrhage. Premature labor was associated (P less than .001) only with gestational age at the time of clinical presentation. No sonographic finding was identified as a risk factor for small-for-gestational-age infants. Sonographic findings of placental abruption correlate with fetal outcome, and this information may be useful for guiding obstetric management.
回顾性分析了69例经超声检查（US）发现的胎盘早剥和胎盘出血病例，以确定超声检查结果是否与胎儿结局相关。4例患者失访，其余65例患者的胎儿结局包括12例（18%）死亡、6例（9%）终止妊娠、15例（23%）早产存活婴儿、4例（6%）足月分娩小于孕周的婴儿以及28例（43%）足月正常分娩。胎儿死亡率与胎盘剥离的估计百分比相关性最好，但也与出血的位置（胎盘后）和大小（大于60 ml）显著相关（P<0.01）。早产仅与临床表现时的孕周相关（P<0.001）。未发现超声检查结果是小于孕周婴儿的危险因素。胎盘早剥的超声检查结果与胎儿结局相关，该信息可能有助于指导产科管理。
