经阴道超声诊断剖宫产术后子宫切口妊娠的价值分析  

Analysis of the value of transvaginal ultrasound in the diagnosis of uterine incision pregnancy after cesarean section

作　　者：王艳云[1] Wang Yanyun(Color Doppler Ultrasound Department,Fengxian People's Hospital of Jiangsu Province,Xuzhou 221700,China)

机构地区：[1]江苏省丰县人民医院彩超室,江苏徐州221700

出　　处：《实用妇科内分泌电子杂志》2022年第17期78-80,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨在剖宫产术后子宫切口妊娠诊断中应用经阴道超声的临床价值。方法选取40例剖宫产术后子宫切口妊娠(CSP)患者,患者均接受经腹部及经阴道超声检查,以病理学诊断结果为金标准,观察其诊断结果。结果本组40例患者,经病理确诊孕囊型20例,不均质包块型12例,混合型8例。经腹部超声诊断准确率为75.00%,经阴道超声诊断准确率为92.50%,差异有统计学意义(P<0.05)。结论与经腹部超声相比,经阴道超声对剖宫产术后子宫切口妊娠的诊断准确率更高,是一种可靠的诊断方式。Objective To investigate the clinical value of transvaginal ultrasound in the diagnosis of pregnancy through uterine incision after cesarean section.Methods 40 patients with uterine incision pregnancy(CSP)after cesarean section were selected.All patients underwent transabdominal and transvaginal ultrasound examination.The pathological diagnosis was taken as the gold standard to observe the diagnostic results.Results In this group of 40 patients,20 cases of gestational sac type,12 cases of heterogeneous mass type and 8 cases of mixed type were confi rmed by pathology.The diagnostic accuracy of transabdominal ultrasound was 75.00%and that of transvaginal ultrasound was 92.50%,and the diff erence was statistically significant(P<0.05).Conclusion Compared with transabdominal ultrasonography,transvaginal ultrasonography is more accurate in the diagnosis of uterine incisional pregnancy after cesarean section,and is a reliable diagnostic method.

关 键 词：经阴道超声 经腹部超声 剖宫产术 子宫切口妊娠 

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]