经阴道彩色多普勒超声应用于子宫切口妊娠诊断的效果分析  

Detection rate of transvaginal color Doppler ultrasound in the diagnosis of uterine incision pregnancy

作　　者：王敏 吴斌 李祥敏 Wang Min;Wu Bin;Li Xiangmin(Department of Ultrasound,Wanzai Chengji Hospital,Jiangxi 336300,China;不详)

机构地区：[1]江西省万载诚济医院超声科,336300 [2]宜春学院第一附属医院(万载县人民医院)超声科

出　　处：《实用医学影像杂志》2024年第3期204-207,共4页Journal of Practical Medical Imaging

摘　　要：目的 评估经阴道彩色多普勒超声(TVCDS)应用在子宫切口妊娠(CSP)诊断中的效果及对检出率的影响。方法 纳入2019年3月至2023年3月的52例疑似CSP患者,均接受经腹部彩色多普勒超声(TACDS)、TVCDS检查,参照手术结果,评价2种超声技术的诊断效能、不同分型检出率。结果 52例疑似CSP患者最终确诊42例,其中TVCDS准确度(83%)、灵敏度(88%)高于TACDS(63%和62%)(P<0.05),二者特异度差异无统计学意义(P>0.05);手术结果显示42例CSP患者中混合包块型14例、单纯妊娠囊型25例、宫腔型3例,其中TVCDS混合包块型检出率(93%)、单纯妊娠囊型检出率(92%)、总检出率(88%)均高于TACDS(57%、64%与62%),(P<0.05),二者宫腔型检出率差异无统计学意义(P>0.05)。结论 TVCDS可以提高CSP诊断准确度、灵敏度,提高CSP分型检出率,值得推广。Objective To evaluate the effectiveness of transvaginal color Doppler ultrasound(TVCDS)in the diagnosis of uterine incision pregnancy(CSP)and its impact on the detection rate.Methods A total of 52 suspected CSP patients from March 2019 to March 2023 were included,all of whom underwent transabdominal color Doppler ultrasound(TACDS)and TVCDS examinations.The diagnostic efficacy and detection rates of different subtypes of the two ultrasound techniques were evaluated based on surgical results.Results Among the 52 suspected CSP patients,42 were ultimately diagnosed,among which TVCDS had higher accuracy(83%)and sensitivity(88%)than TACDS(63%and 62%)(P<0.05).There was no difference in specificity between the two ultrasound techniques(P>0.05).The surgical results showed that among 42 CSP patients,there were 14 cases with mixed mass type,25 cases with simple gestational sac type,and 3 cases with uterine cavity type.Among them,the detection rate of TVCDS mixed mass type(93%),simple gestational sac type(92%),and total detection rate(88%)was all higher than those of TACDS(57%,64%and 62%)(P<0.05).There was no difference in the detection rate of uterine cavity type between the two ultrasound techniques(P>0.05).Conclusion TVCDS can improve the accuracy and sensitivity of CSP diagnosis,increase the detection rate of CSP typing,and it′s worth promoting.

关 键 词：超声检查 多普勒 子宫切口妊娠 检出率 

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]