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经阴道彩色多普勒超声在剖宫产术后子宫瘢痕妊娠诊治中的应用 被引量:69

Application of Transvaginal Color Doppler Ultrasound in Diagnosis and Treatment of Uterine Scar Pregnancy after Cesarean Section
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摘要 目的:评价经阴道彩色多普勒超声在剖宫产术后子宫瘢痕妊娠(CSP)诊治中的临床应用价值。方法:选择我院于2011年1月至2015年12月期间收治的经病理学证实的30例CSP患者和30例非CSP患者作为研究对象,均分别给予经腹彩色多普勒超声检查和经阴道彩色多普勒超声检查,以临床和病理学检查结果为"金标准",比较两种方法的检查准确性、误诊率和漏诊率,并根据检查结果给予对症治疗。结果:经腹部超声检查组和经阴道超声检查组漏诊率分别为23.33%(7/30)和6.66%(2/30),组间比较差异具有统计学意义(P<0.05);经腹部超声检查组和经阴道超声检查组误诊率分别为20.00%(6/30)和6.66%(2/30),组间比较差异具有统计学意义(P<0.05)。结论:经阴道彩色多普勒超声对剖宫产术后子宫瘢痕妊娠的诊断准确率高于经腹彩色多普勒超声检查,具有更低的误诊率和漏诊率,能够为更多患者提供准确的治疗主张,使治疗更加合理,体现出很高的临床应用价值。 Objective:To evaluate the clinical value of transvaginal color doppler ultrasound in the diagnosis and treatment of uterine scar pregnancy (CSP) after cesarean section.Methods: 30 CSP patients confirmed by pathology and 30 cases of non CSP patients admitted in our hospital from January 2011 to December 2015 were selected as the research objects.The patients in two groups were separately given transabdominal color doppler ultrasound and transvaginal color doppler ultrasound examination.The clinical and pathological results were the "gold standard".The accuracy, the rate of misdiagnosis and missed diagnosis of two methods were compared.Results: The misdiagnosis rate of transabdominal ultrasound and transvaginal ultrasound inspection group were separately 23.33% (7/30) and 6.66% (2/30);the difference was statistically significant (P 〈 0.05);the misdiagnosis rate of transabdominal ultrasound and transvaginal ultrasound inspection group were 20% (6/30) and 6.66% (2/30);the difference was statistically significant (P 〈 0.05).Conclusion: Transvaginal color doppler ultrasound in the diagnosis of uterine scar pregnancy after cesarean section rate of accuracy is higher than transabdominal color doppler ultrasound examination.It has a lower rate of misdiagnosis and missed diagnosis rate, and can provide accurate therapeutic claims for more patients, make treatment more reasonable, reflect the high value of clinical application.
出处 《河北医学》 CAS 2017年第4期555-558,共4页 Hebei Medicine
基金 广东省科技计划项目 (编号:2011B031800168)
关键词 剖宫产 子宫瘢痕妊娠 彩色多普勒超声 经阴道检查 经腹检查 Cesarean delivery Uterine scar pregnancy Color doppler ultrasound After vaginal examination Abdominal examination
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