彩色多普勒超声在子宫瘢痕妊娠诊断及治疗中的应用价值

Application value of color Doppler ultrasound in diagnosis and treatment of uterine scar pregnancy

目的:探究彩色多普勒超声在子宫瘢痕妊娠诊断及治疗中的应用价值。方法:选取2017年7月—2018年7月收治的80例子宫瘢痕妊娠患者,以信封法随机将其分入对照组与研究组并分别为其采取经腹部彩色多普勒超声检查与经阴道彩色多普勒超声检查。比较两组的诊断准确率。给予患者临床治疗并对比治疗前后患者的血流阻力指数和血β-HCG。结果:研究组诊断准确率为97.5%,高于对照组82.5%的诊断准确率,差异有统计学意义(P <0.05)。治疗后患者的血流阻力指数比治疗前有所提高,血β-HCG与治疗前相比有所降低,差异有统计学意义(P <0.05)。结论:在子宫瘢痕妊娠的诊断上经阴道彩色多普勒超声有比经腹部彩色多普勒超声更高的诊断价值,临床应可借助经阴道彩色多普勒超声来指导临床治疗。

Objective To explore the value of color Doppler ultrasound in the diagnosis and treatment of uterine scar pregnancy. Methods 80 cases of uterine scar pregnancy from July 2017 to July 2018 were randomly divided into control group and research group by envelope method, and were examined by transabdominal color Doppler ultrasonography and transvaginal color Doppler ultrasonography respectively. The diagnostic accuracy was compared between the two groups. The blood flow resistance index and blood beta-HCG were compared before and after treatment. Results The diagnostic accuracy of the study group was 97.5%, higher than that of the control group(82.5%, P.. 0.05). After treatment, the blood flow resistance index of the patients was higher than that before treatment, and the blood beta-HCG was lower than that before treatment, the difference was statistically significant(P.. 0.05). Conclusion Transvaginal color Doppler ultrasound has higher diagnostic value than transabdominal color Doppler ultrasound in the diagnosis of uterine scar pregnancy. Transvaginal color Doppler ultrasound should be used to guide clinical treatment.