摘要
目的分析经阴道三维彩色多普勒超声检查诊断剖宫产瘢痕妊娠的价值。方法随机抽取2014年7月-2016年7月在医院诊治的剖宫产瘢痕妊娠的患者45例,全部患者经阴道三维彩色多普勒超声检查与腹部彩色超声检查,对比2种检查方法的诊断效果。结果经阴道三维彩超检查的确诊率明显高于经腹部彩超检查,漏诊率明显低于经腹部彩超检查,差异均有统计学意义(P<0.05)。以经阴道三维彩超检查的图像特点分为单纯孕囊型28例、混合回声包块型7例以及部分位于子宫腔5例3种类型。结论在剖宫产瘢痕妊娠的诊断中行经阴道三维彩色多普勒的超声诊断,能够提高患者确诊率,降低患者漏诊率,具有应用的价值。
Objective To analysis the diagnosis results of transvaginal three-dimensional color doppler ultrasound in the diagnosis of cesarean scar pregnancy. Methods Selected 45 cases patients with cesarean scar pregnancy in hospital from July 2014 to July 2016. All patients were examined by transvaginal three-dimensional color Doppler ultrasound examination and abdominal color ultrasonography. Mter examination, compared the diagnostic results of 2 methods. Results The diagnostic rate of transvaginal three-dimensional color Doppler ultrasound examination was higher than that of abdominal uhrasonography,The Missed rate of transvaginal three-dimensional color Doppler ultrasound examination was lower than that of abdominal ultra- sonography, the difference was statistic significantly（ P 〈 O. 05 ）. 45 cases patients were examined by transvaginal three-dimen- sional color doppler ultrasound examination. According to the characteristics of the patient＇s image, scar pregnancy can be di- vided into simple gestational sac, mixed echo-block type and part of the uterine cavity. 40 cases of cesarean scar pregnancy di- agnosed in 28 cases of simple gestational sac, mixed echo mass in 7 cases,part of the uterine cavity in 5 cases. Conclusion In the diagnosis of cesarean scar pregnancy by transvaginal three-dimensional color Doppler ultrasound diagnosis, can improve the rate of diagnosis, reduce the rate of missed diagnosis ,with the value of the application.
出处
《临床合理用药杂志》
2017年第4期51-52,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
经阴道三维彩色多普勒超声
剖宫产
瘢痕妊娠
诊断价值
Transvaginal three-dimensional color Doppler ultrasound
Cesarean section
Scar pregnancy
Diagnosticvalue
