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

发布时间：2018-09-17 15:15

【摘要】：目的探讨经阴道彩色多普勒超声诊断剖宫产切口瘢痕妊娠临床价值,为临床诊断提供依据。方法回顾性分析2014年6月-2016年10月48例接受孕检的疑似剖宫产切口瘢痕妊娠患者的临床资料,分析患者经阴道彩色多普勒超声图像特点。结果 48例疑似剖宫产切口瘢痕妊娠患者经多普勒超声检查后,41例确诊为瘢痕妊娠,病理确诊40例,准确率97.56%,7例患者为非瘢痕妊娠,病理确诊6例,准确率85.71%,总体临床诊断准确率为95.83%;瘢痕妊娠患者分为孕囊型和包块型两种,两种类型患者彩色多普勒超声检查图像显示病灶存在一定的差异,临床诊断可根据超声图像特点进行确诊;41例剖宫产切口瘢痕妊娠患者治疗前后病灶大小(长、宽)差异无统计学意义(P0.05),子宫前壁峡部肌层厚和动脉血流阻力指数显著增加(P0.05)。结论经阴道彩色多普勒超声在剖宫产瘢痕妊娠患者临床诊断上可提供相对较精确的病灶图像,对疾病诊断和治疗有较大的临床价值。
[Abstract]:Objective to evaluate the clinical value of transvaginal color Doppler ultrasonography in the diagnosis of scar pregnancy in cesarean incision. Methods the clinical data of 48 pregnant women with suspected cesarean incision scar pregnancy from June 2014 to October 2016 were analyzed retrospectively and the characteristics of transvaginal color Doppler ultrasonography were analyzed. Results Forty-eight cases of suspected cesarean incision scar pregnancy were diagnosed by Doppler ultrasound in 41 cases, pathological diagnosis in 40 cases, accuracy rate of 97.56% in 7 cases without scar pregnancy, pathological diagnosis in 6 cases. The accuracy rate was 85.71 and the overall accuracy of clinical diagnosis was 95.83. The patients with scar pregnancy were divided into two types: gestational sac type and mass type. There were some differences in color Doppler ultrasonography between the two types of patients. According to the characteristics of ultrasound, 41 cases of cesarean incision scar pregnancy were diagnosed by clinical diagnosis. There was no significant difference in the size (length and width) of lesion before and after treatment (P0.05), but the thickness of isthmus of uterus and arterial blood flow resistance index increased significantly (P0.05). Conclusion Transvaginal color Doppler ultrasound can provide a relatively accurate focus image for the clinical diagnosis of cesarean scar pregnancy. It is of great clinical value in the diagnosis and treatment of the disease.
【作者单位】：秦皇岛市妇幼保健院;
【分类号】：R714.22;R445.1

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