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- W2898026729 abstract "To discuss the value of self-made ultrasonic scoring system in the prediction of types of placenta accreta, and its associated risk of bleeding and hysterectomy. A prospective study was performed in 137 patients who were suspiciously diagnosed with placenta accreta before delivery. All the patients were examined by the scoring system, and were classified into 3 groups according to their scores: score of ≤5 as N1, ≥6 and ≤9 N2, and ≥10 as N3 groups. Then the accuracy and the Kappa value were calculated. Hemorrhage during the operation and the uterine resection rate were also compared. There were 73 patients in N1, 36 in N2, and 28 in N3 groups. The prediction accuracy rate were 87.6%(64/73) and 92.0%(25/28), respectively in groups 1 and 3. The Kappa was 0.750.77 for the prediction accuracy rate. The median quantities of hemorrhage during the operation were 400[100, 2000] ml, 1200[300, 9000] ml, and 4000[800,13000]ml, respectively. The uterine resection rates were 0.0%(0/73), 11.1%(4/36) and 39.3%(11/28), respectively. Comparison of hemorrhage and uterine resection rate among the 3 groups were significant (P<0.001). Among them, statistically significant differences in hemorrhage and uterine resection rate were observed in every two groups (P<0.05). These results suggested that self-made ultrasonic scoring system remains an effective diagnostic tool for assessing the types of placenta accreta, predicting the associated bleeding risk, and indicating the possibility of hysterectomy. The blood flow increased, forming a cluster Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
- W2898026729 created "2018-10-26" @default.
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- W2898026729 date "2018-10-01" @default.
- W2898026729 modified "2023-09-23" @default.
- W2898026729 title "OP05.02: An ultrasonic scoring system to predict the prognosis of placenta accreta: a prospective cohort study" @default.
- W2898026729 doi "https://doi.org/10.1002/uog.19427" @default.
- W2898026729 hasPublicationYear "2018" @default.
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