经阴道彩色多普勒超声在剖宫产术后子宫疤痕妊娠诊治中应用价值探讨

Application Value of Transvaginal Ultrasonography in the Diagnosis of Cesarean Scar Pregnancy after Cesarean Section

目的:探讨经阴道彩色多普勒超声对剖宫产术后子宫疤痕妊娠的诊断价值。方法:对2016年8月-2018年8月夏邑县妇幼保健院超声科接诊的经手术病理证实为剖宫产术后子宫疤痕妊娠的50例患者影像学资料进行回顾性分析,所有患者均进行经阴道彩色多普勒超声检查与经腹彩色多普勒超声检查,比较两种检查准确性及误诊情况。结果:根据声像图显示,子宫瘢痕可分为孕囊型、混合性及不均质包块型,其中包含孕囊型27例,混合型5例、不均质包块型18例;阴道彩超检查准确率为92.00%(46/50),显著高于腹部彩超的74.00%(37/50),差异有统计学意义(P<0.05)。结论:与经腹超声相比,经阴道超声在剖宫产术后子宫瘢痕妊娠诊断中具有明显优势,可为临床治疗方案的选择提供重要参考依据。

Objective: To investigate the value of transvaginal ultrasonography (TVUS) in the diagnosis of cesarean scar pregnancy after cesarean section. Methods: The imaging data of 50 cesarean scar pregnancy after cesarean section confirmed by operative and pathological findings in (Department of ultrasound from August2016 to August2018 were retrospectively analyzed. All the the patients were given TVUS and transabdominal ultrasonography (TAUS) examination. The diagnostic accuracy and misdiagnosis were compared between TVUS and TAUS. Results: Shown by ultrasonogram, cesarean scar can be divided into gestational sac type, mixed type and heterogeneous mass type, including27 cases of gestational sac type, 5 cases of mixed type, and18 cases of heterogeneous mass type;The diagnostic accuracy of TVUS was 92.00%(46/50), which was higher than 74.00%(37/50) of TAUS (P<0.05). Conclusion: Compared with TAUS, TVUS in the diagnosis of cesarean scar pregnancy after cesarean section is effective, it can provide important reference for the choice of clinical treatment regimens.