经阴道超声在剖宫产术后子宫瘢痕妊娠诊断中的效果分析  

Effect Analysis of Transvaginal Ultrasonography in Diagnosis of Uterine Scar Pregnancy after Cesarean Section

作　　者：吕显玉 朱武银 姚奇 LYU Xianyu;ZHU Wuyin;YAO Qi(Department of Ultrasound Medicine,Zheng'an County People's Hospital,Zunyi,Guizhou Province,563400 China)

机构地区：[1]遵义市正安县人民医院超声医学科,贵州遵义563400

出　　处：《世界复合医学》2023年第6期46-49,共4页World Journal of Complex Medicine

摘　　要：目的探讨经阴道超声在剖宫产术后子宫瘢痕妊娠(cesarean scar pregnancy,CSP)诊断中的效果,以便为临床诊断CSP提供依据。方法选取2020年4月—2023年3月遵义市正安县人民医院收治的疑似CSP患者70例为研究对象,均接受经阴道超声与经腹部超声检查。将临床最终诊断结果作为金标准,比较经腹部超声与经阴道超声诊断CSP情况,并比较两种超声诊断方式的诊断效能。结果70例疑似CSP患者经临床最终诊断65例CSP,经阴道超声诊断总符合率为93.85%,高于经腹部超声诊断总符合率的80.00%,差异有统计学意义(χ^(2)=5.482,P=0.019)。经阴道超声诊断准确度为91.43%、特异度为80.00%、灵敏度为92.31%,经腹部超声诊断准确度为70.00%、特异度为20.00%、灵敏度为73.85%,两种诊断方法的准确度与灵敏度比较,差异有统计学意义(χ^(2)=10.324、7.878,P<0.05),两种诊断方法的特异度比较,差异无统计学意义(P>0.05)。结论剖宫产术后子宫瘢痕妊娠诊断中采取超声诊断有一定的价值,特别是经阴道超声诊断,与经腹部超声诊断比较,可更好地提高CSP检出率,同时其诊断效能更好,能为临床诊断CSP提供更可靠的依据,值得应用。Objective To investigate the effect of transvaginal ultrasonography in the diagnosis of Cesarean Scar Pregnancy(CSP)after caesarean section,so as to provide evidence for clinical diagnosis of CSP.Methods From April 2020 to March 2023,70 patients with suspected CSP who were admitted to the People's Hospital of Zheng'an County,Zunyi City were selected as the study subjects,all of whom received transvaginal ultrasound and transabdominal ultrasound.Used the final clinical diagnosis result as the gold standard,compared the diagnosis of CSP using transabdominal ultrasound and transvaginal ultrasound,and compared the diagnostic efficacy of the two ultrasound diagnostic methods.Results 70 patients with suspected CSP were finally diagnosed with 65 CSP,the total accuracy rate of transvaginal ultrasound diagnosis was 93.85%,which was higher than 80.00%of the total accuracy rate of transabdominal ultrasound diagnosis,the difference was statistically significant(χ^(2)=5.482,P=0.019).The diagnostic accuracy of transvaginal ultrasound was 91.43%,specificity was 80.00%,and sensitivity was 92.31%,the diagnostic accuracy of abdominal ultrasound was 70.00%,specificity was 20.00%,and sensitivity was 73.85%.Compared the accuracy and sensitivity of the two diagnostic methods,the difference was statistically significant(χ^(2)=10.324,7.878,P<0.05).Compared the specificity between the two diagnostic methods,the difference was not statistically significant(P>0.05).Conclusion The value of ultrasound diagnosis in the diagnosis of uterine scar pregnancy after cesarean section,especially transvaginal ultrasound diagnosis,compared with transabdominal ultrasound diagnosis,can better improve the detection rate of CSP,and its diagnostic efficiency is better,can provide a more reliable basis for clinical diagnosis of CSP,and is worthy of application.

关 键 词：剖宫产 术后子宫瘢痕妊娠 经腹部超声 经阴道超声 诊断效能 

分 类 号：R4[医药卫生—临床医学]