目的:探讨彩色多普勒超声对重型胎盘早剥的诊断价值。方法:分析我院2012年10月—2015年10月93例经临床证实为重型胎盘早剥患者的胎儿及附属物声像图表现及临床结局。结果:手术病理证实胎盘早剥280例,其中重型胎盘早剥93例,超声诊断84例,诊断符合率90.3%,漏诊9例。结论:超声检查能及时发现重型胎盘早剥的位置、出血情况,有较高的诊断符合率,是诊断重型胎盘早剥的首选方法。 Objective: To investigate the diagnostic value of color Doppler ultrasound in severe placental abruption. Methods: Analysis of the fetus and appendages of 93 patients with clinically proven severe placental abruption in our hospital from October 2012 to October 2015 showed the sonogram and clinical outcome. Results: 280 cases of placental abruption confirmed by operation and pathology, including 93 cases of severe placental abruption, 84 cases of ultrasound diagnosis, the diagnostic coincidence rate of 90.3%, 9 cases of missed diagnosis. Conclusion: Ultrasonography can detect the location and bleeding of severe placental abruption in time and has high diagnostic coincidence rate. It is the first choice for diagnosis of severe placental abruption.