剖宫产瘢痕部位妊娠的阴道超声诊断价值和误诊分析

By transvaginal color doppler ultrasound diagnosis of cesarean scar pregnancy ultrasound diagnostic value and the misdiagnosis analysis

目的探讨经阴道彩色多普勒超声诊断剖宫产瘢痕部位妊娠的超声诊断价值和误诊原因分析。方法对我院近年来经阴道彩色多普勒超声诊断的109例剖宫产瘢痕部位妊娠患者作回顾性分析,探讨其超声诊断价值和误诊原因。结果109例患者超声诊断结果为胚囊型31例、胚胎型34例、混合包块型18例、不均质肿块型26例;但病理诊断结果为胚囊型30例、胚胎型34例、混合包块型17例、不均质肿块型26例。两者相对比发现,即超声诊断的误诊率为1.83%,两种诊断结果差异不具有统计学意义(P>0.05)。结论经阴道彩色多普勒超声诊断可以明确用于剖宫产瘢痕部位妊娠的诊断,并提高临床治疗效率。

Objective：Explore the transvaginal color doppler ultrasound diagnosis cesarean section scar parts pregnancy ultrasound diagnostic value and the misdiagnosis reason analysis. Methods：In our hospital in recent years by transvaginal color doppler ultrasound diagnosis of 109 cases of cesarean scar pregnancy patients were retrospectively analyzed,to explore the ultrasonic diagnostic value and the misdiagnosis reason. Results：109 cases of patients with ultrasound diagnosis for embryo sac 31 cases,embryonal 34 cases,mixed type bag piece 18 cases,heterogeneous mass 26 cases;But the pathological diagnosis embryo sac type 30 cases,embryonal 34 cases,mixed type bag piece of 17 cases,a heterogeneous mass type 26 cases. Both relatively than found,that is,the misdiagnosis rate of ultrasonic diagnosis was 1.83%,two diagnosis no statistically significant difference（P〉0.05）. Conclusion：transvaginal color doppler ultrasound diagnosis can be clear for cesarean section scar pregnancy diagnosis,and improve the efficiency of clinical treatment.