经腹部及经阴道超微血流成像彩色多普勒超声联合检查在子宫瘢痕妊娠中的应用价值

Application value of transabdominal and transvaginal superbmicro-vascular imaging color Doppler ultrasound in uterine scar pregnancy

目的探讨经腹部及经阴道超微血流成像彩色多普勒超声联合检查(简称“经腹部超声联合经阴道超声检查”)在子宫瘢痕妊娠中的应用价值。方法选取2016年7月18日~2019年7月18日广东省东莞市黄江医院收治的96例疑似子宫瘢痕妊娠患者作为本研究对象,患者均采用经腹部超微血流成像彩色多普勒超声(简称“经腹部超声检查”)、经阴道超微血流成像彩色多普勒超声诊断(简称“经阴道超声检查”)。以术后确诊结果作为金标准,对比各种检查方式(经阴道超声检查、经腹部超声检查、经腹部超声联合经阴道超声检查)的诊断正确率、敏感度、特异度、误诊率及漏诊率。结果经腹部超声联合经阴道超声检查对单纯妊娠囊型、混合包块型、宫腔型子宫瘢痕妊娠患者的诊断正确率均高于经腹部超声检查和经阴道超声检查,差异有统计学意义(P<0.05)。经腹部超声联合经阴道超声检查的敏感度、特异度高于经腹部超声检查和经阴道超声检查,漏诊率、误诊率低于经腹部超声检查和经阴道超声检查,差异有统计学意义(P<0.05)。结论经腹部超声联合经阴道超声检查对子宫瘢痕妊娠患者的诊断正确率、敏感度、特异度更高,值得临床应用。

Objective To investigate the application value of transabdominal and transvaginal superbmicro-vascular imaging color Doppler ultrasound(referred to"transabdominal ultrasound combined with transvaginal ultrasound")in uterine scar pregnancy.Methods A total of 96 patients with suspected uterine scar pregnancy admitted to Huangjiang Hospital of Dongguan City,Guangdong Province from July 18,2016 to July 18,2019 were selected as the research objects.All the patients were diagnosed by transabdominal superbmicro-vascular imaging color Doppler ultrasound(referred to"transabdominal ultrasound")and transvaginal superbmicro-vascular imaging color Doppler ultrasound(referred to"transvaginal ultrasound").With the postoperative diagnosis result as the gold standard,the diagnostic accuracy,sensitivity,specificity,misdiagnosis rate and missed diagnosis rate of various examination methods(transvaginal ultrasound,transabdominal ultrasound,transabdominal ultrasound combined with transvaginal ultrasound)were compared.Results The diagnostic accuracy of transabdominal ultrasound combined with transvaginal ultrasound in patients with simple pregnancy cystic type,mixed mass type and uterine scar pregnancy were higher than those of transabdominal ultrasound and transvaginal ultrasound,and the differences were statistically significant(P<0.05).The sensitivity and specificity of transabdominal ultrasound combined with transvaginal ultrasound were higher than those of transabdominal ultrasound and transvaginal ultrasound,and the rates of missed diagnosis and misdiagnosis were lower than those of transabdominal ultrasound and transvaginal ultrasound,with statistically significant differences(P<0.05).Conclusion The diagnostic accuracy,sensitivity and specificity of transabdominal ultrasound combined with transvaginal ultrasound in patients with uterine scar pregnancy are higher,which is worthy of clinical application.