摘要
目的探讨研究经阴道超声在剖宫产瘢痕妊娠诊断中的应用价值。方法选取我院收治的剖宫产瘢痕妊娠孕妇55例作为研究对象,对其实施经阴道超声联合检查,观察其超声影像学表现,将其与病理诊断结果对照,计算诊断准确率。结果 55例剖宫产瘢痕妊娠的孕妇经阴道超声检查,明确诊断的有51例,诊断准确率92.73%。按照其超声表现进行分组,21例为单纯孕囊型(占41.18%);30例为不均质团块型(占58.82%)。患者子宫切口处的平均肌层厚度为(3.98±1.09)mm。13例患者可探及丰富的高速血流信号,平均RI值为(0.51±0.09);27例患者可探及少许血流信号,11例患者未能探及血流信号。结论经阴道超声诊断剖宫产瘢痕妊娠的操作简便,诊断准确率高,可以为治疗方案的制定提供指导。
Objective To study the value of transvaginal ultrasonography in the diagnosis of cesarean section scar pregnancy. Methods 55 pregnant women with cesarean section were selected as the subjects. The transvaginal ultrasonography was performed to observe the ultrasonographic findings. The diagnostic results were compared with the results of pathological diagnosis. Results 55 pregnant women with cesarean section were diagnosed by transvaginal ultrasonography. 51 cases were diagnosed by diagnosis. The diagnostic accuracy was 92.73%. According to their ultrasound performance grouping, 21 cases of simple gestational sac （41.18%）, 30 cases of heterogeneous mass （58.82%）. The average thickness of the muscular incision was （3.98±1.09） mm. 13 patients were able to explore the rich high-speed blood flow signal, the average RI was （0.51±0.09）, 27 patients can explore a little blood flow signal, 11 patients failed to explore the blood flow signal. Conclusion Transvaginal ultrasound diagnosis of cesarean section scar pregnancy is simple, high diagnostic accuracy, can provide guidance for the development of treatment programs.
出处
《中国继续医学教育》
2017年第5期81-82,共2页
China Continuing Medical Education
关键词
阴道超声
剖宫产瘢痕妊娠
应用价值
vaginal ultrasound
cesarean scar pregnancy
application value
