彩色多普勒超声诊断子宫峡部剖宫产瘢痕妊娠的效果探析  

Analysis of The Effect of Color Doppler Ultrasonography in The Diagnosis of Uterine Isthmus Cesarean Section Scar Pregnancy

作　　者：刘文敏 赖胜坤[2] 瞿国萍[1] 颜冬华[1] Liu Wenmin;Lai Shengkun;Qu Guoping;Yan Donghua(Department of Ultrasound,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400;Department of Ultrasound,Bo'ai Hospital,Zhongshan City,Zhongshan 528400)

机构地区：[1]中山市中医院超声科,广东中山528400 [2]中山市博爱医院超声科,广东中山528400

出　　处：《现代医用影像学》2019年第7期1516-1518,共3页Modern Medical Imageology

摘　　要：目的:探究分析子宫峡部剖宫产瘢痕妊娠应用彩色多普勒超声的效果。方法:选取在我院接受诊断的200例疑似子宫峡部剖宫产瘢痕妊娠患者作为研究对象,分别给予经阴道彩色多普勒超声、经腹部彩色多普勒超声及经阴道联合经腹部彩色多普勒超声,将三种彩色多普勒超声诊断方式结果与手术病理检出结果进行分析,对其诊断准确率、灵敏度和特异度进行对比分析。结果:观察三种彩色多普勒超声诊断方式与手术病理检出结果发现,经阴道彩色多普勒超声检出例阳性,例阴性;经腹部彩色多普勒超声检出例阳性,例阴性;联合诊断检出例阳性,例阴性;手术病理检出例阳性,例阴性。观察三种诊断方式和手术病理的诊断准确率、灵敏度和特异度,经阴道彩色多普勒超声与经腹部彩色多普勒超声差异无统计学意义(P>0.05);联合诊断、手术病理均高于经阴道彩色多普勒超声与经腹部彩色多普勒超声,差异具有统计学意义(P<0.05);联合诊断与手术病理差异无统计学意义(P>0.05)。结论:经分析,经阴道彩色多普勒超声与经腹部彩色多普勒超声联合诊断子宫峡部剖宫产瘢痕妊娠的效果良好,值得在临床上推广应用。Objective:To investigate the effect of color Doppler ultrasound on uterine isthmus cesarean section scar pregnancy.Methods:A total of 200 patients with suspected uterine isthmus cesarean scar pregnancy were enrolled in our hospital. They were given transvaginal color Doppler ultrasound, transabdominal color Doppler ultrasound and transvaginal transabdominal color Doppler. Ultrasound, the results of three color Doppler ultrasound diagnosis methods and surgical pathology were analyzed, and the diagnostic accuracy, sensitivity and specificity were compared and analyzed.Results:Three color Doppler ultrasound diagnosis methods and surgical pathological findings were found. Transvaginal color Doppler ultrasound was positive and negative. Abdominal color Doppler ultrasound was positive and negative. The diagnosis was positive and negative. The surgical pathology was positive and negative. The diagnostic accuracy, sensitivity and specificity of the three diagnostic methods and surgical pathology were observed. There was no significant difference between transvaginal color Doppler ultrasound and transabdominal color Doppler ultrasound(P>0.05). Combined diagnosis and surgical pathology were observed. The difference was statistically significant compared with transvaginal color Doppler ultrasound and transabdominal color Doppler ultrasound(P<0.05). There was no significant difference between the combined diagnosis and surgical pathology(P>0.05).Conclusion:After analysis, transvaginal color Doppler ultrasound combined with transabdominal color Doppler ultrasound in the diagnosis of uterine isthmus cesarean section scar pregnancy is good, it is worthy of clinical application.

关 键 词：彩色多普勒超声 经阴道 经腹部 子宫峡部剖宫产瘢痕妊娠 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.22[医药卫生—诊断学]