剖宫产瘢痕部位妊娠的超声诊断及临床价值分析

Analysis of ultrasound diagnosis and clinical value of cesarean scar pregnancy

目的:分析剖宫产瘢痕部位妊娠超声诊断和其临床价值。方法:收治剖宫产瘢痕部位妊娠患者60例,根据不同部位诊断方案分成对照组和观察组各30例。对照组给予腹部超声诊断,观察组给予阴道超声诊断。比较两组患者的声像图表现、CDFI结果及诊断符合情况。结果:20例人流手术后在子宫切口区域发现混合型包块,且边界清晰;3例停经36 d妊娠囊在切口之中;有4例CDFI未出现血流;观察组诊断符合率高于对照组(P<0.05)。结论:剖宫产瘢痕部位妊娠患者行经阴道超声诊断价值较高,能够提高诊断符合率。

Objective:To analyze the ultrasound diagnosis and clinical value of cesarean scar pregnancy.Methods:60 patients withcesarean scar pregnancy were selected.According to the different parts of the diagnosis scheme,they were divided into the controlgroup and the observation group with 30 cases in each.The control group was given abdominal ultrasound diagnosis.Theobservation group was given transvaginal ultrasound diagnosis.The sonogram,CDFI result and diagnosis coincidence of two groupswere compared.Results:20 cases found mixed type package with clear boundary in the uterine incision area after operativeabortion.3 cases of gestation sac were in incision at menopause 36 days.4 cases of CDFI did not appear flow.The diagnosiscoincidence rate of the observation group was higher than that of the control group(P<0.05).Conclusion:The value of transvaginalultrasound diagnosis is higher in patients with cesarean scar pregnancy,it can improve the diagnosis coincidence rate.