腔内彩超诊断剖宫产术后子宫下段早期瘢痕妊娠的临床价值

Clinical Value of Endovascular Color Doppler Ultrasound in the Diagnosis of Early Scar Pregnancy in the Lower Segment of Uterus after Cesarean Section

目的探讨腔内彩超诊断剖宫产术后子宫下段早期瘢痕妊娠(CSP)的临床价值。方法选取2018年1月至2018年12月于我院就诊的18例剖宫产术后CSP患者为研究对象,患者均行临床病理确诊,并将临床病理确诊作为诊断新标准对所有患者实施腔内彩超诊断,对比其诊断符合率。结果经临床病理确诊包括胚囊型7例,流产型6例,切口部妊娠3例以及混合回声包块型2例,经腔内彩超诊断后其符合率为94.00%,两者诊断符合率对比无显著差异(P>0.05)。结论在CSP早期诊断中应用腔内彩超具有较高的诊断准确性,且其安全性较高,可作为临床首选方式。

Objective To investigate the clinical value of intracavitary color Doppler ultrasound in the diagnosis of early scar pregnancy (CSP) after cesarean section. Methods Eighteen patients with CSP after cesarean section who were admitted to our hospital from January 2018 to December 2018 were enrolled in the study. All patients underwent clinical pathological diagnosis and clinical pathological diagnosis was performed as a diagnostic gold standard for all patients. Intracavitary color Doppler ultrasound diagnosis, compared with its diagnostic compliance rate. Results The clinical pathological diagnosis included 7 cases of blastocyst type, 6 cases of abortion type, 3 cases of incision pregnancy and 2 cases of mixed echo mass. The coincidence rate was 94.00% after intracavitary color Doppler ultrasound diagnosis. There was no significant difference in comparison (P>0.05). Conclusion The application of intracavitary color Doppler ultrasound in the early diagnosis of CSP has high diagnostic accuracy and its safety is high, which can be used as the clinical preferred method.