经腹彩色多普勒超声联合经阴道彩色多普勒超声对子宫瘢痕妊娠的诊断价值

Diagnostic value of transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound in uterine scar pregnancy

目的探讨经腹彩色多普勒超声、经阴道彩色多普勒超声对子宫瘢痕妊娠的临床诊断价值。方法选择侯马市人民医院2013年1月至2018年7月疑似子宫瘢痕妊娠患者42例作为研究对象,所有患者均接受经腹部彩超、经阴道彩超检查,记录两者单独检查和联合检查结果,并将其与病理诊断或随访确诊结果进行对照研究。结果42例疑似子宫瘢痕妊娠患者均顺利完成经腹、经阴道彩超检查,经腹、经阴道彩超检查对子宫瘢痕妊娠的诊断敏感性、特异性均较低(经腹敏感性为55.56%、特异性为50.00%,经阴道敏感性为61.11%、特异性为66.67%),而两者联合检查的敏感性、特异性较高(分别为88.89%、83.33%),差异有统计学意义,P<0.05。结论临床医生在实际诊断疑似子宫瘢痕妊娠患者时,建议联合应用经腹彩超、经阴道彩超检查,有利于提高此类疾病的正确检出率,保障患者疗效及预后。

Objective To investigate the clinical value of transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound in the diagnosis of uterine scar pregnancy.Methods Forty-two patients with suspected uterine scar pregnancy in Houma People’s Hospital from January 2013 to July 2018 were examined by transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound.The results of the two examinations and combined examination were recorded and compared with the results of pathological diagnosis or follow-up diagnosis.Results Forty-two patients with suspected uterine scar pregnancy successfully completed transabdominal and transvaginal color Doppler ultrasonography.The sensitivity and specificity of transabdominal and transvaginal color Doppler ultrasound examination for uterine scar pregnancy were low.The sensitivity of transabdominal examination was 55.56%,and the specificity was 50.00%.The sensitivity of transvaginal examination was 61.11%,and the specificity was 66.67%.The sensitivity and specificity of the combined examinations were 88.89%,83.33%,respectively,higher than the two single mothods and the differences were significant(P<0.05).Conclusions In the actual diagnosis of suspected uterine scar pregnancy patients,the combined application of transabdominal color ultrasound,transvaginal color ultrasound examination is recommended,which is conducive to improving the correct detection rate of such diseases,so as to ensure the efficacy and prognosis of patients.