分析经阴道彩超诊断及鉴别诊断子宫疤痕妊娠的临床价值

Analysis of the clinical value of transvaginal ultrasound in the diagnosis and differential diagnosis of uterine scar pregnancy

目的:研究分析经阴道彩超诊断及鉴别诊断子宫疤痕妊娠的临床价值。方法:在我院于2018年6月—2019年5月收治的子宫疤痕妊娠患者中,选取其中的56例作为本次的研究对象。其中28例经腹部彩超检查诊断的患者纳入检查A组,另外28例经阴道彩超检查诊断的患者纳入检查B组。观察两组患者检查结果与最终确诊结果,对比两组包块型子宫瘢痕与孕囊型子宫瘢痕的检查情况。结果:检查A组患者中,误诊率为26.67%,漏诊率为20.00%。检查B组患者中,该组的诊断准确率为85.71%,误诊率为7.14%,漏诊率为7.14%。检查B组的包块型子宫瘢痕确诊率明显高于检查A组(χ~2=24.743、χ~2=13.568、χ~2=7.047,P<0.05)。结论:采用阴道彩超检查进行子宫瘢痕诊断以及鉴别诊断,诊断准确率较高,具有重要的临床诊断价值。

Objective To study and analyze the clinical value of transvaginal ultrasound in the diagnosis and differential diagnosis of uterine scar pregnancy.Methods 56 pregnant women with uterine scar who were admitted to our hospital from June 2018 to may 2019 were selected as the subjects of this study.Among them,28 patients diagnosed by transabdominal ultrasound were included in group A,and 28 patients diagnosed by transvaginal ultrasound were included in group B.The results of examination and final diagnosis were observed in the two groups,and the results of examination of the two groups were compared.Results In group A,misdiagnosis rate was 26.67%and missed diagnosis rate was 20.00%.In group B,the accuracy rate of diagnosis was 85.71%,misdiagnosis rate was 7.14%,and missed diagnosis rate was 7.14%.In group B,the rate of diagnosis was significantly higher than that in group A(χ^2=24.743,χ^2=13.568,χ^2=7.047,P<0.05).Conclusion The diagnosis and differential diagnosis of uterine scar by transvaginal color Doppler ultrasound is of high accuracy and important clinical value.