经腹与经阴道超声诊断剖宫产术后瘢痕妊娠的价值分析

Analysis of Value of Transabdominal and Transvaginal Sonography in Diagnosis of Scar Pregnancy after the Cesarean Section

目的通过对比不同途径超声诊断剖宫产术后瘢痕妊娠的情况,为剖宫产术后瘢痕妊娠的诊断提供有价值的参考依据。方法以该院于2016年1月—2018年1月期间妇产科收治的125例剖宫产术后瘢痕妊娠患者作为研究对象,根据诊断方式的不同分为两组,采取经腹多普勒超声诊断的为对照组,采取阴道多普勒超声诊断的为实验组,根据临床资料记载统计两组患者的诊断率,分析两种超声诊断方式的应用价值。结果阴道彩色多普勒彩色超声检查的检出率92.3%明显高于经腹彩色多普勒超声检查的检出率66.7%(χ~2=10.296,P<0.05);且实验组统计数据显示漏诊率4.6%和误诊率3.1%明显低于对照组的20.0%和13.3%,差异有统计学意义(χ~2=5.813、4.625,P<0.05);阴道彩色多普勒超声检查时间(13.26±1.08)min明显小于经腹彩色多普勒超声诊断时间,对诊断检查的满意度评分(95.24±8.69)分明显高于经腹彩色多普勒超声,差异有统计学意义(t=8.264、7.983,P<0.05)。结论与经腹彩色多普勒超声诊断相比,阴道彩色多普勒超声诊断准确率更高,用时更短,患者更愿意接受,值得临床推广。

Objective To compare the different ways of ultrasound in diagnosis of scar pregnancy after the cesarean section thus providing reference for the diagnosis of scar pregnancy after the cesarean section. Methods 125 cases of patients with scar pregnancy after the cesarean section admitted and treated in our hospital from January 2016 to Jan uary 2018 were selected and divded into two groups, the control group and the experimental group were respectively treated with transabdominal and transvaginal sonography, and the diagnosis rate of the two groups was recorded accord- ing to the clinical data, and the application value of the two diagnosis way was analyzed. Results The test rate of color Doppler color ultrasound examination of vagina was obviously higher than that of transabdominal color Doppler ultra- sonography（92.3% vs 66.7%）, （χ2=10.296, P〈 0.05）; and the statistical data showed that the missed diagnosis and mis- diagnosis rate in the experimental group were obviously lower than those in the control group （4.6%, 3.1% vs 20.0%, 13.3%）, and the differences were statistically significant （χ2=5.813, 4.625, P〈 0.05） ; the time of transvaginal color Doppler ultrasound examination （13.26±1.08） min was obviously lower than that of transabdominal color Doppler ultra- sound, and the satisfactory degree score was （95.24±8.69）points, which was obviously higher than that of transabdominal color Doppler ultrasound, and the difference was statistically significant （t=8.264, 7.983, P〈 0.05） . Conclusion The ac curate rate of transvaginal color Doppler sonography is higher than that of transabdominal color Doppler ultrasound, and the time is shorter, and the patients are more accepted, and it is worth clinical promotion.