剖宫产切口瘢痕妊娠应用经阴道彩色多普勒超声诊断分析

Analysis on Transvaginal Color Doppler Sonography in the Diagnosis of Caesarean Scar Pregnancy

目的探讨采用经阴道彩色多普勒超声诊断剖宫产切口瘢痕妊娠(CSP)的应用价值。方法选取我院收治的60例CSP患者,分为两组各30例。研究组采用经阴道彩色多普勒超声检查,对照组采用经腹部超声检查。分析比较两组患者的治疗效果。结果研究组的超声图像显示,12例为孕囊型,15例为团块型,其他3例为混合型;5例患者在超声引导下行CSP病灶穿刺注药治疗,15例患者在超声引导下行清宫术,1例患者行经腹部病灶切除术,5例患者采取药物保守治疗,4例患者行腹腔镜下病灶清除联合清宫术。研究组的诊断准确率为96.67%(29/30),显著高于对照组的73.33%(22/30),差异有统计学意义(P<0.05)。结论采用经阴道彩色多普勒超声对CSP患者进行早期诊断,方便快捷且准确率高,值得临床推广。

Objective To explore the application value of transvaginal color Doppler sonography in the diagnosis of caesarean scar pregnancy （CSP）. Methods 60 cases of CSP patients in our hospital were selected and divided into two groups, with 30 cases in each group. The study group received transvaginal color Doppler sonography, while the control group received transabdominal ultrasound. The treatment effect of patients was analyzed and compared between the two groups. Results The ultrasound image of the study group showed 12 cases of gestational sac type, 15 cases of mass type and 3 cases of mixed type; 5 cases received ultrasound-guided CSP puncture and drug injection, 15 cases received ultrasound-guided curettage, 1 case received transabdominal resection, 5 cases received conservative drug treatment, and 4 cases received laparoscopic resection and curettage. The diagnostic accuracy of the study group was 96.67% （29/30）, significantly higher than 73.33% （22/30） of the control group, with statistical difference （P 〈0.05）. Conclusions Transvaginal color Doppler sonography in the early diagnosis of CSP patients is convenient and efficient, and has high accuracy, which is worthy of clinical promotion.