经阴道彩色多普勒超声在剖宫产术后子宫瘢痕妊娠诊疗的应用

孙海燕; 韩秋峪

经阴道彩色多普勒超声在剖宫产术后子宫瘢痕妊娠诊疗的应用

Application of transvaginal color Doppler ultrasound in diagnosis and treatment of Cesarean scar pregnancy

摘要

摘要: 目的：探讨经阴道彩色多普勒超声在剖宫产术后子宫瘢痕妊娠中的诊断和治疗方式选择的应用价值。方法：对2014年1月至2017年6月超声诊断的60例子宫瘢痕妊娠患者声像图特征进行分析，并回顾不同治疗方法的临床资料。结果：经腹组30例，20例超声确诊为剖宫产子宫瘢痕部位妊娠(66.7％)，误诊10例(33.3％)；经阴道组30例，27例超声确诊为剖宫产子宫瘢痕部位妊娠(90.0％)，误诊3例(10％)，差异具有统计学意义(P<0．05)。两种超声对不同类型瘢痕妊娠的诊断准确率无统计学差异(P>0.05）。结论：经阴道超声对剖宫产瘢痕妊娠诊断具有很高的准确率，有利于指导临床医生给出最佳的治疗方案。

Abstract: Objective: To investigate the value of trans-vaginal color Doppler ultrasound in the diagnosis and treatment of uterine scar pregnancy after cesarean section.Methods: The features of 60 cases of uterine scar pregnancy diagnosed by ultrasound from January 2014 to June 2017 were analyzed, and the clinical data of different treatment methods were reviewed.Results: There were 30 cases in abdominal group, 20 cases were diagnosed with cesarean scar pregnancy (66.7%) and 10 cases were misdiagnosed (33.3%). There were 30 cases in the vaginal group, 27 cases were diagnosed with p Cesarean scar pregnancy (90.0%), and 3 cases were misdiagnosed (10%). The difference was statistically significant (P<0.05).Conclusion: Trans-vaginal ultrasound diagnosis of cesarean section scar pregnancy operation is simple, diagnosis accuracy rate is high, can provide guidance for the formulation of treatment plan

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