阴道超声诊断对子宫下段瘢痕处憩室的临床诊断价值分析

Clinical Value of Transvaginal Ultrasonography in the Diagnosis of Diverticulum in Lower Segment of Uterus

目的:分析阴道超声诊断对子宫下段瘢痕处憩室的临床诊断价值。方法:收取我院116例子宫下段瘢痕处憩室患者,收取时间在2016年11月25日直至2017年7月9日,并将子宫下段瘢痕处憩室患者分为两组,对照组(58例患者实施腹部超声诊断),观察组(58例患者实施阴道超声诊断),将两组子宫下段瘢痕处憩室患者的诊断结果进行对比。结果:观察组子宫下段瘢痕处憩室患者中敏感性96.55%和特异性91.38%高于对照组患者敏感性68.97%和特异性77.59%(P<0.05),观察组子宫下段瘢痕处憩室患者中,阳性患者有55例、阴性患者有3例、检出率94.83%高于对照组(P<0.05)。结论:阴道超声诊断对子宫下段瘢痕处憩室患者具有较高的临床诊断价值,能显著提高检出率,避免误诊和漏诊情况发生,值得应用。

Objective： to analyze the diagnostic value of transvaginal sonography in diagnosis of lower segment uterine scar diverticulum. Methods： collected in our hospital 116 cases of lower segment uterine scar diverticulum were charged in November 25,2016 until July 9,2017,and the lower segment uterine scar diverticulum were divided into two groups,the control group（ 58 cases patients with abdominal ultrasound diagnosis）,observation group（ 58 cases of patients with vaginal ultrasound diagnosis,two） diagnosis group lower segment uterine scar diverticulum were compared. Results：the observation group lower segment uterine scar diverticulum in 96. 55% patients with sensitivity and specificity of 91. 38%higher than the control group 68. 97% and 77. 59% specificity sensitivity（ P〈 0. 05）,the observation group lower segment uterine scar diverticulum patients,positive patients in 55 cases,negative in 3 patients,the detection rate was 94. 83% higher than that of the control group（ P〈 0. 05）. Conclusion： vaginal ultrasonic diagnosis of uterus Patients with lower scar diverticulum have higher clinical diagnostic value,can significantly improve the detection rate,avoid misdiagnosis and missed diagnosis,and deserve to be applied.