经阴道彩色多普勒超声诊断子宫切口妊娠的临床应用价值分析

Analysis of clinical value of transvaginal color Doppler ultrasound in the diagnosis of uterine incision pregnancy

目的分析经阴道彩色多普勒超声诊断子宫切口妊娠的临床应用价值。方法选取120例子宫切口妊娠患者作为研究对象,所有患者均分别经腹部和阴道彩色多普勒超声进行检查。观察阴道彩色多普勒超声和经腹彩色多普勒超声对子宫切口妊娠诊断的准确率、误诊率和漏诊率。结果经阴道彩色多普勒超声检查子宫切口妊娠准确率为98.33%,明显高于经腹部彩色多普勒超声的91.67%,差异有统计学意义(P<0.05);经阴道彩色多普勒超声诊断的误诊率与漏诊率与经腹部彩色多普勒超声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对子宫切口妊娠的诊断更为精确,具有重要的临床应用价值。

Objective To analyze the clinical value of transvaginal color Doppler ultrasound in the diagnosis of uterine incision pregnancy. Methods A total of 120 patients with uterine incision pregnancy as research subjects, and all patients were examined by abdominal and vaginal color Doppler ultrasound respectively. The accuracy, misdiagnosis rate and missed diagnosis rate of uterine incision pregnancy diagnosis by vaginal color Doppler ultrasound and transabdominal color Doppler ultrasound was observed. Results The accuracy of transvaginal color Doppler ultrasonography for uterine incision pregnancy was 98.33%, which was significantly higher than that 91.67% by transabdominal color Doppler ultrasound, and the difference was statistically significant(P<0.05). There was no significant difference in misdiagnosis rate and missed diagnosis rate between transvaginal color Doppler ultrasound and transabdominal color Doppler ultrasound(P>0.05). Conclusion Transvaginal color Doppler ultrasound is more accurate in the diagnosis of uterine incision pregnancy and has important clinical application value.