经阴道彩超在诊断瘢痕子宫妊娠中的价值

Transvaginal Doppler Ultrasound in the Diagnosis of the Scarred Uterus Pregnancy

目的:探讨经阴道彩超在诊断瘢痕子宫妊娠中的应用价值。方法:分析我院2010年6月至2012年6月收治的早中晚期瘢痕妊娠患者73例,先后进行腹部彩超检查和阴道多普勒超声检查。结果:经腹部彩超检查,49例明确诊断,诊断符合率为67.12%,漏诊率为12.33%;经阴道多普勒彩超检查,69例明确诊断,诊断符合率为94.52%,漏诊率为1.37%。经阴道多普勒彩超的诊断符合率显著高于腹部彩超(P<0.05),而漏诊率显著低于经腹部彩超(P<0.05)。经声像图特征分析,明确诊断的69例患者中包括孕囊型21例,混合包块型33例,蜂窝型15例。结论:经阴道超声检查可近距离的观察病灶与周围血流关系,对病情诊断和治疗提供了有力依据,可以作为检查瘢痕妊娠的首选方法,值得在临床上广泛推广。

Objective： To explore the application value of transvaginal color doppler ultrasound in the diagnosis of scarred uterus pregnancy. Method： From Jun. 2010 to Jun. 2012, admitted 73 cases early in the late scar pregnancy. The patients had abdominal color doppler ultrasound examination and vaginal doppler ultrasound at the same time. Result： After the abdominal color doppler ultrasound examination, 49 cases of a clear diagnosis, diagnostic coincidence rate was 67.12% , and misdiagnosis rate was 12.33% ; Check transvaginal doppler ultrasonography to confirm the diagnosis of 69 cases, the diagnostic rate was 94. 52% and missed diagnosis rate was 1.37%. Vaginal doppler uhrasenography diagnosis rate was higher than that of abdominal ultrasonography （ P 〈0.05 ） , while the rate of misdiagnosis was significantly lower than ab- dominal uhrasonography （ P〈0.05 ）. The sonographic features, including 69 patients with clear diagnosis of the gcstational sac in 21 cases, the mixed mass in 33 cases, 15 cases of cellular type. Conclusion： The transvaginal ultrasound can have a close observation of the lesion and surrounding blood relations, provide a strong basis for clinical diagnosis and treatment, can be used as the preferred method of examination of scar pregnancy, it is worth widely used in clinical.