超声在剖宫产瘢痕妊娠大出血风险评估的价值分析

Value Evaluation of Ultrasound in the Hemorrhage Risk Assessment of Cesarean Scar Pregnancy

目的探讨超声在剖宫产瘢痕妊娠大出血风险评估的价值。方法回顾性分析130例瘢痕妊娠患者,根据术中患者出血量分为两组,其中出血量<400 m L设为对照组,出血量≥400 m L设为研究组,采用Logistic回归分析大出血患者危险因素。结果两组血清人绒毛膜促性腺激素(HCG)水平对比未显示明显差异(P>0.05);研究组病灶大小及残余肌层厚度均明显高于对照组(P<0.05);Logistic回归分析得出病灶大小、类型、残余肌层的厚度及血流分级为相关危险因素。结论超声应用于术前可准确预测出剖宫产瘢痕妊娠术中发生大出血风险,从而为临床治疗具体方案提供参考依据。

Objective To evaluate the value of ultrasound in the hemorrhage risk assessment of cesarean scar pregnancy. Methods A retrospective analysis was carried out on 130 cases of scar pregnancy patients, and the patients were divided into two groups according to the amount of intraoperative bleeding, in which the group was selected as control with less than 400 mL of bleeding amount, while the other group was set as the research group with over 400 mL of bleeding amount, and Logistic regression analysis was carried out on the hemorrhage risk factors in such patients. Results There was no significant difference on the serum human chorionic promote gonadal hormones （HCG） level of the two groups （P〉0. 05）. Tumor size and residual muscle layer thickness in research group were significantly higher than those in the control group （P〈0. 05）. In addition, logistic regression analysis showed that lesion size, type, residual muscle layer thickness and blood flow grading were the related risk factors. Conclusion Ultrasound could accurately predict the hemorrhage risk during cesarean section scar pregnancy, providing references for clinical treatment of specific programs.