磁共振成像与阴道彩色多普勒超声诊断剖宫产瘢痕妊娠的临床比较  

Comparison about the clinical applications of magnetic resonance imaging and transvaginal color doppler ultrasonograph in diagnosing cesarean scar pregnancy

作　　者：汪菁[1] 朱颐[1] 申震[1] 柳友清[1] 

机构地区：[1]安徽医科大学附属省立医院安徽省立医院妇产科,合肥230001

出　　处：《中国临床保健杂志》2015年第4期356-358,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的观察比较磁共振成像(MRI)与阴道彩色多普勒超声(TVCDU)方法在诊断剖宫产瘢痕妊娠中(CSP)的临床应用,探讨核磁共振在诊断剖宫产瘢痕妊娠中的临床意义。方法对35例剖宫产瘢痕部位妊娠分别采用磁共振成像和阴道彩色多普勒超声检查情况进行回顾分析,结合临床诊断标准和诊断结果,统计对比2种检查方法的准确率。结果根据磁共振成像和阴道彩色多普勒超声成像特点,并经手术及病理证实,阴道彩色多普勒超声组20例,14例正确诊断为剖宫产瘢痕部位妊娠,误诊、漏诊6例,确诊率70%;磁共振组15例,13例正确诊断为剖宫产瘢痕部位妊娠,1例正确诊断为滋养细胞疾病,1例正确诊断为宫颈妊娠,确诊率100%。磁共振成像和阴道彩色多普勒超声组误诊率对比,差异有统计学意义(P<0.01)。结论磁共振成像检查对剖宫产瘢痕妊娠具有直接、准确、鉴别诊断的较高价值,可以为剖宫产瘢痕妊娠的临床诊断和治疗提供重要信息。Objective To compare and observe the clinical applications of magnetic resonance imaging （MRI） and transvaginal color Doppler ultrasonograph （TVCDU）in diagnosing cesarean scar pregnancy （CSP）and to investi-gate the clinical significance of MRI in CSP.Methods MRI and TVCDU were retrospectively reviewed in 35 patients with pathology proven cesarean scar pregnancy,statistical comparison of two kinds of checking the accuracy of the meth-od based on results.Results All results were according to image of MRI and TVCDU and confirmed by surgery and pathology.Fourteen of 20 patients were diagnosed CSP with TVCD,and the diagnostic accuracy was 70.0%.Six cases of CSP were misdiagnosed and missed.Thirteen of 15 patients were diagnosed CSP with MRI,including one case was diag-nosed the trophoblastic disease accuracy,one case was diagnosed as cervical pregnancy,the diagnostic accuracy was100%.Two groups contrast statistically significant in diagnostic accuracy（P〈0.01）.Conclusion MRI can provide important reference information for clinical diagnosis and treatment of cesarean scar pregnancy.

关 键 词：妊娠 异位 磁共振成像 超声检查 多普勒 彩色 剖宫产术 

分 类 号：R714.22[医药卫生—妇产科学] R575.4[医药卫生—临床医学]