经阴道彩超对剖宫产后切口妊娠的临床诊断价值  

Clinical diagnostic value of transvaginal color Doppler sonography to uterine incision pregnancy

作　　者：陈小霞 黎彩容 伍志贤 张丽贤 

机构地区：[1]广东省新兴县人民医院B超室,广东新兴527400

出　　处：《中国医药科学》2016年第14期105-107,共3页China Medicine And Pharmacy

基　　金：广东省云浮市医学科学技术研究课题(2013B73)

摘　　要：目的研究经阴道彩色多普勒超声（彩超）对剖宫产切口妊娠的临床诊断价值。方法选择2012年5月~2015年6月期间,有剖宫产史,在我院确诊为子宫切口妊娠并经病理证实的产妇中的72例作为本次研究的受试对象,按治疗方案的不同均分为两组。对照组进行常规腹超声检查,研究组36例采用阴道彩色多普勒超声检查。比较两种检查的检查效果。结果通过对比分析对照组中36名产妇,经腹部彩超检出23例,检出率为63.89%,其中宫颈妊娠3例、滋养细胞肿瘤5例及子宫肌瘤5例;研究组中36名产妇,经腹部彩超检出31例,检出率为86.12%,其中宫颈妊娠2例、滋养细胞肿瘤1例,研究组的检出率明显高于对照组,差异具有统计学意义（χ2=3.471,P=0.0042）。通过对比分析两组产妇采用不同的方法检查剖宫产后切口妊娠,观察组检出产妇的胚芽、假孕囊及附件区包块的情况明显高于对照组,其数据对比具有统计学意义（P〈0.05）。结论经阴道彩超是诊断剖宫产后切口妊娠的一种十分准确且方便有效的方法,具有很高的临床诊断价值。Objective To explore the clinical diagnostic value of transvaginal color Doppler sonography to uterine incision pregnancy. Methods 72 cases of patients with history of cesarean section in our hospital from May2012 to June 2015 diagnosed as uterine incision pregnancy by pathologically were selected as the study objects. According to the different treatment, the patients were divided into two groups with 36 cases in each. Patients in control group were examined by routine abdominal ultrasound examination, and patients in study group were examined by transvaginal color Doppler ultrasonography. Check effects of the two kinds of inspection were compared. Results Through comparative analysis of 36 women in control group, 23 cases were detected by abdominal color Doppler ultrasound, and the detection rate was 63.89%, including 3 cases of cervical pregnancy, 5 cases of gestational trophoblastic tumor and 5 cases of uterine fibroids. Through comparative analysis of 36 women in study group, 31 cases were detected by abdominal ultrasonography, and the detection rate is 86.12%, including 2 cases of cervical pregnancy, 1 case of trophoblastic cell tumor. The detection rate of study group was more than that of control group, and the difference was statistically significant（χ2=3.471, P=0.0042）. Through the comparative analysis of the women in the two groups with different inspection methods of cesarean section postpartum pregnancy at the incision, maternal detection of germ, gestational sac and adnexa block in study group were significantly higher than those of the control group, the comparison of the data was statistically significant（P〈0.05）. Conclusion Transvaginal color Doppler ultrasound is a very accurate and convenient method for diagnosis of pregnancy after cesarean section. It has a high value of clinical diagnosis.

关 键 词：剖宫产 切口妊娠 彩色多普勒超声 诊断 

分 类 号：R719.8[医药卫生—妇产科学] R445.1[医药卫生—临床医学]