经腹及经阴道彩色多普勒超声对子宫疤痕妊娠的诊断价值研究

The diagnostic value research of cesarean scar pregnancy by trans-abdominal and transvaginal color doppler scanning

目的:分析经腹及经阴道彩色多普勒超声对子宫疤痕妊娠的诊断价值。方法:选取进行治疗的子宫疤痕患者41例,分别实施经腹及经阴道彩色多普勒超声检查,对比两种诊断方式的诊断结果及声像分型。结果:经阴道超声确诊率(95.1%)较经腹超声(78.1%)明显提高,差异显著有统计学意义(P<0.05);经阴道超声诊断单纯妊娠囊型19例,占48.7%;团块型15例,占38.5%;位于宫腔型5例,占12.8%;经腹超声诊断单纯妊娠囊型17例,占53.1%;团块型13例,占40.6%;位于宫腔型2例,占6.3%。两种诊断方式声像分型比较,差异无统计学意义(P>0.05)。结论:经阴道彩色多普勒超声可提高子宫疤痕妊娠确诊率,值得临床推广。

Objective To analyse the diagnostic value of cesarean scar pregnancy by trans-abdominal and transvaginal color doppler scanning.Method 41 cases of patients with cesarean scar pregnancy for treatment were selected,to respectively implemented the trans-abdominal and transvaginal color doppler scanning,to compare the diagnosis and ultrasound classification of two diagnostic modes.Results The diagnose rate of the transvaginal was 95.1%,that was significantly improved to compare with the 78.1% of the trans-abdominal,there was statistical significance（ P ﹤ 0.05）.After the endovaginal ultrasonic diagnosis,the mode as pure gestational sac was 19 cases,which was accounted for 48.7%.The mode as block mass was 15 cases,which was accounted for 38.5%.The mode as located the uterine cavity was 5 cases,which was accounted for 12.8%.After the abdominal ultrasound diagnosis,the mode as pure gestational sac was 17 cases,which was accounted for 53.1%.The mode as block mass was 13 cases,which was accounted for 40.6%.The mode as located the uterine cavity was 2 cases,which was accounted for 6.3%.To compare the ultrasound classification of two diagnostic modes,there was no statistical significance（ P〈0.05）.Conclusion The able to improve the diagnose rate of cesarean scar pregnancy by the transvaginal color doppler scanning,and that is worth for promotion in the clinical.