经阴道彩色多普勒超声在诊断剖宫产子宫疤痕妊娠中的价值研究

The Value of Transvaginal Color Doppler Ultrasound in the Diagnosis of Cesarean Scar Pregnancy

目的观察在剖宫产子宫疤痕妊娠中应用经阴道彩色多普勒超声的诊断价值。方法选取2015年2月~2017年6月在我院就诊治疗的剖宫产子宫疤痕妊娠患者120例,均经临床病理学确诊,所有患者全部行经阴道和腹部彩色多普勒超声检查,并记为观察组(阴道超声组)和对照组(腹部超声组),观察并对比两组的检查诊断结果和声像学分析结果。结果观察组检查准确率为93.33%,高于对照组的81.67%,差异具有统计学意义(P<0.05);观察组患者中切口处孕囊型26例,包块型21例,混合型9例,对照组患者中切口处孕囊型25例,包块型19例,混合型5例,两组间相比较,差异无统计学意义(P>0.05)。结论在剖宫产子宫疤痕妊娠中应用经阴道彩色多普勒超声进行诊断,具有更高的准确性,对于临床确诊有更佳的意义,值得推广应用。

Objective To observe the diagnostic value of transvaginal color Doppler ultrasound in cesarean section uterine scar pregnancy.Methods 120 cases of cesarean section uterine scar pregnancy treated in our hospital from February 2015 to June 2017 were selected.All were confirmed by clinicopathology and all patients were examined by transvaginal and abdominal color Doppler ultrasound and recorded as observation group(vaginal ultrasound group)and control group(abdominal ultrasound group).The results of diagnostic examination and sonographic analysis were observed and compared between the two groups.Results The accuracy of examination in the observation group was 93.33%,which was higher than that in the control group 81.67%,the difference was statistically significant(<0.05).In the observation group,there were 26 cases of gestational sac type at incision,21 cases of mass type,9 cases of mixed type,in the control group,there were 25 cases of gestational sac type at incision,19 cases of mass type and 5 cases of mixed type.There was no significant difference between the two groups(>0.05).Conclusion Transvaginal color Doppler ultrasound is more accurate in the diagnosis of uterine scar pregnancy during cesarean section.It has better significance for clinical diagnosis and is worth popularizing.