经阴道超声联合超声造影检测在评估剖宫产术后盆腔粘连中的价值

Value of Vaginal Ultrasound Combined with Ultrasound Contrast Detection in the Assessment of Pelvic Adhesions After Cesarean Section

目的探讨经阴道超声联合超声造影检测在评估剖宫产术后盆腔粘连中的价值。方法选取2020年1月至2023年1月我院收治的疑似剖宫产术后盆腔粘连产妇96例,经腹腔镜检测确诊62例盆腔粘连阳性,34例盆腔粘连阴性。96例产妇均进行阴道超声、超声造影检测,比较两种检测方法的诊断结果及诊断效能。结果经阴道超声联合超声造影检测剖宫产术后盆腔粘连患者阳性61例、阴性35例;经阴道超声检测剖宫产术后盆腔粘连患者阳性60例、阴性36例;经超声造影检测剖宫产术后盆腔粘连患者阳性60例、阴性36例。经阴道超声联合超声造影检测的灵敏度、特异度、阳性率均显著高于经阴道超声、超声造影单独检测,但阴性率低于经阴道超声、超声造影单独检测(P<0.05)。结论经阴道超声联合超声造影检测在评估剖宫产术后盆腔粘连中的诊断价值较高,值得推广。

Objective To explore the value of vaginal ultrasound combined with ultrasound contrast detection in the assessment of pelvic adhesions after cesarean section.Methods 96 puerperae with suspected pelvic adhesions after cesarean section from January 2020 to January 2023 in our hospital were selected.62 positive cases and 34 negative cases of pelvic adhesions were diagnosed by laparoscopy.96 puerperae were detected by vaginal ultrasound and ultrasound contrast,and the diagnostic results and diagnostic eficacy of the two methods were compared.Results 61 positive cases and 35 negative cases of pelvic adhesions after cesarean section were detected by vaginal ultrasound combined with ultrasound contrast.60 positive cases and 36 negative cases of pelvic adhesions after cesarean section were detected by vaginal ultrasound.60 positive cases and 36 negative cases of pelvic adhesions after cesarean section were detected by ultrasound contrast.The sensitivity,specificity and positive rate of vaginal ultrasound combined with ultrasound contrast were significantly higher than those of vaginal ultrasound or ultrasound contrast alone,but the negative rate was lower than that of vaginal ultrasound or ultrasound contrast alone(P<0.05).Conclusions Vaginal ultrasound combined with ultrasound contrast in the assessment of pelvic adhesions after cesarean section has higher diagnostic value,which is worthy of promotion.