经阴道彩色多普勒超声诊断剖宫产切口瘢痕妊娠的临床价值分析  

Analysis of clinical value of transvaginal color Doppler ultrasound in diagnosing cesarean section incision scar pregnancy

作　　者：韩合梅 Han Hemei(Special Examination Department,Maternal and Child Health Hospital of Tai'an City,Taian,Shandong 271000,China)

机构地区：[1]泰安市妇幼保健院特检科,山东泰安271000

出　　处：《影像研究与医学应用》2021年第10期15-16,共2页Journal of Imaging Research and Medical Applications

摘　　要：目的:讨论剖宫产切口瘢痕妊娠中行经阴道彩色多普勒超声诊断的临床价值。方法:取2019年12月-2020年12月我院剖宫产切口瘢痕妊娠疑似患者77例,所有患者均作彩色多普勒超声检查,按诊断部位归为:腹检组(经腹部诊断,同批患者77例)、阴检组(经阴道诊断,同批患者77例)。以病理检验结果为金标准,比较两种检验方式的临床价值。结果:阴检组病理诊断分型与金标准的差异无统计学意义(P>0.05);诊断准确度接近金标准(P>0.05)。结论:经阴道彩色多普勒超声诊断剖宫产切口瘢痕妊娠的价值颇高,诊断结果较为准确,且误差小,可有效判定病症分型,有助于临床医生的参考鉴别,值得肯定。Objective To discuss the clinical value of transvaginal color Doppler ultrasound in the diagnosis of cesarean scar pregnancy.Methods 77 cases of suspected cesarean scar pregnancy in our hospital from December 2019 to December 2020 were selected.All patients were examined by color Doppler ultrasound,and they were divided into abdominal examination group(abdominal diagnosis,77 cases of the same group)and vaginal examination group(vaginal diagnosis,77 cases of the same group).The clinical value of the two methods was compared with the pathological results as the gold standard.Results There was little difference between the pathological classification and the gold standard in the negative group(P﹥0.05),and the diagnostic accuracy was close to the gold standard(P﹥0.05).Conclusion The value of transvaginal color Doppler ultrasound in the diagnosis of cesarean scar pregnancy is quite high,the diagnosis result is more accurate,and the error is small,which can effectively determine the disease classification,and it is helpful for clinicians to refer to the identification,which is worthy of affirmation.

关 键 词：经阴道彩色多普勒超声诊断 剖宫产 切口瘢痕妊娠 

分 类 号：R714.2[医药卫生—妇产科学]