经腹部和经阴道彩色多普勒超声对剖腹产疤痕妊娠分型的诊断价值分析  

Diagnostic Value of Transabdominal and Transvaginal Color Doppler Ultrasound in Scar Pregnancy Classification of Caesarean Section

作　　者：黄小兰 徐绍鹏[1] HUANG Xiaolan;XU Shaopeng(Department of Ultrasound,ZhangzhouHospital of Traditional Chinese Medicine,Zhangzhou Fujian 363000,China)

机构地区：[1]漳州市中医院超声科,福建漳州363000

出　　处：《中国卫生标准管理》2019年第8期84-86,共3页China Health Standard Management

摘　　要：目的探讨经腹部和经阴道彩色多普勒超声对剖腹产疤痕妊娠分型的诊断价值。方法选取2013年4月—2017年5月我院经手术确诊的47例剖腹产疤痕妊娠患者的影像学资料,将采用经阴道彩超者纳入研究组(24例),采用经腹部彩超者纳入对照组(23例),对比两组患者的诊断符合率和各型剖腹产疤痕妊娠符合率。结果通过追踪两组患者的病理资料后发现,研究组与病理诊断符合率为91.7%(22/24),对照组与病理诊断符合率为60.9%(14/23),两组对比,差异有统计学意义(χ~2=6.214,P=0.013)。两组各型剖腹产疤痕妊娠符合率对比,差异无统计学意义。结论经阴道超声相比于经腹部超声对诊断剖腹产疤痕妊娠效果更佳,但二者区分剖宫产妊娠的分型上差异无统计学意义,对指导剖腹产疤痕妊娠的手术方式选择上价值较低。Objective To explore the diagnostic value of transabdominal and transvaginal color Doppler ultrasound in the classification of cesarean scar pregnancy. Methods The imaging data of 47 cases of cesarean scar pregnancy diagnosed surgically in our hospital from April 2013 to May 2017 were selected, the study group (24 cases) and the control group (23 cases). The diagnostic coincidence rate of the two groups and the coincidence rate of different types of cesarean scar pregnancy were compared. Results The coincidence rate between the study group and pathological diagnosis was 91.7%(22/24), while that between the control group and pathological diagnosis was 60.9%(14/23),χ 2=6.214, P =0.013. There was no significant difference in the coincidence rate of cesarean scar pregnancy between the two groups. Conclusion Transvaginal ultrasound is better than transabdominal ultrasound in the diagnosis of cesarean scar pregnancy, but there is no difference between them in the classification of cesarean pregnancy. Clinically, pathological results should be taken as the criterion.

关 键 词：腹部超声 阴道超声 剖腹产 疤痕妊娠 分型 

分 类 号：R445[医药卫生—影像医学与核医学]